Individual provider Active NPI

Yukiko Nagamatsu Bowdoin, NP

  • Adult Health Nurse Practitioner
  • Framingham, MA
National Provider Identifier
1780160671
Registry record updated Jul 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN270654 Issued in MA
Practice address
99 Loring Dr
Framingham, MA 01702-8782
Phone
(508) 532-5100
NPI assigned
Jul 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X RN270654 MA
Primary Care Nurse Practitioner 363LP2300X RN270654 MA
Adult Health Nurse Practitioner 363LA2200X RN270654 MA Primary

Addresses

Primary practice location

99 Loring Dr
Framingham, MA 01702-8782

Mailing address

99 Loring Dr
Framingham, MA 01702-8782
Phone (508) 532-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190718003605 MA Practitioner - Nurse Practitioner 9830425420 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shane Speirs MD II PLLCGroup PAC ID 3971083148, 17 clinicians
Saint Vincent Physician Services IncGroup PAC ID 8921056276, 71 clinicians

Practice addresses (Care Compare)

102 Shore Dr
Suite 403
Worcester, MA 01605-3154
Phone (480) 725-2614

Hospital & facility affiliations

  • St Vincent Hospital Hospital, Worcester, MA, CCN 220176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN270654MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Vincent Physician Services, Inc. CurrentSince Nov 25, 2024 Accepting new patients
Shriver Clinical Services Corporation CurrentSince Jun 1, 2019 Accepting new patients

Locations

591 North Ave
#2
Wakefield, MA 01880
Phone (781) 246-8588

102 Shore Dr
Ste 403
Worcester, MA 01605
Phone (508) 852-5230

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531526400000",
    "number": "1780160671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 LORING DR",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028782",
            "telephone_number": "508-532-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 LORING DR",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028782",
            "telephone_number": "508-532-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWDOIN",
        "first_name": "YUKIKO",
        "middle_name": "NAGAMATSU",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-14",
        "last_updated": "2018-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "RN270654",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN270654",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN270654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.