Individual provider Active NPI

Siobhan Durkin, N.P

  • Adult Health Nurse Practitioner
  • Boston, MA
National Provider Identifier
1790189546
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
MD09738091 Issued in MA
Practice address
30 Lancaster St
Boston, MA 02114-1704
Phone
(617) 227-9300
Fax
(617) 227-3800
NPI assigned
Oct 22, 2014
Last updated
Nov 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X MD09738091 MA Primary

Addresses

Primary practice location

30 Lancaster St
Boston, MA 02114-1704

Mailing address

30 Lancaster St
Boston, MA 02114-1704
Phone (617) 227-9300

Other practice location 1

830 Oak St Ste 200W
Brockton, MA 02301-1191
Phone (774) 480-1600

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
I20160224000057 MA Practitioner - Nurse Practitioner 9133424575 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pembroke Medical Associates IncGroup PAC ID 3678992955, 26 clinicians
Coastal Medical AssociatesGroup PAC ID 7113029257, 443 clinicians
South Shore Medical Center, Inc.Group PAC ID 3678487444, 174 clinicians

Practice addresses (Care Compare)

308 Kingstown Way
Duxbury, MA 02332-4647
Phone (508) 789-3345

55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 792-4136

90 Libbey Industrial Pkwy
Weymouth, MA 02189-3129
Phone (781) 624-4950

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.27 of 100Reported as group
Improvement activities
40
Cost
79.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD09738091MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pembroke Medical Associates Inc CurrentSince Jul 7, 2025 Accepting new patients
South Shore Medical Center, Inc. CurrentSince Jan 28, 2026 Accepting new patients
Coastal Medical Associates CurrentSince Dec 7, 2015 Accepting new patients
Pai Participant Ma PC CurrentSince Aug 26, 2025 Accepting new patients

Locations

308 Kingstown Way
Duxbury, MA 02332
Phone (781) 585-5561

111 Orient Ave
East Boston, MA 02128
Phone (617) 569-1200

2 Pond Park Rd
Hingham, MA 02043
Phone (781) 337-5555

5 Tarkiln Rd
Kingston, MA 02364
Phone (781) 585-2200

141 Longwater Dr
Ste 201
Norwell, MA 02061
Phone (781) 261-7820

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

90 Libbey Park
Weymouth, MA 02189
Phone (781) 331-0537

Interoperability endpoints

  • Direct secure messaging: siobhan.durkin@vcs.directbygreenway.com

Organizations & group practices 4

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

Hospital & facility affiliations 2

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": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1790189546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LANCASTER ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021141704",
            "telephone_number": "617-227-9300",
            "fax_number": "617-227-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LANCASTER ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021141704",
            "telephone_number": "617-227-9300",
            "fax_number": "617-227-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 Oak St Ste 200W",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023011191",
            "country_code": "US",
            "telephone_number": "774-480-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURKIN",
        "first_name": "SIOBHAN",
        "name_prefix": "Mrs.",
        "credential": "N.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "MD09738091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.