Individual provider Active NPI

Andrew P. Wolanski, NP

  • Adult Health Nurse Practitioner
  • Boston, MA
National Provider Identifier
1790724912
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
215647NP Issued in MA
Practice address
44 Binney Street
Sw460
Boston, MA 02115
Phone
(617) 632-6623
Fax
(617) 632-2630
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X 215647 MA
Acute Care Nurse Practitioner 363LA2100X 215647NP MA
Adult Health Nurse Practitioner 363LA2200X 215647NP MA Primary

Addresses

Primary practice location

44 Binney Street
Sw460
Boston, MA 02115

Mailing address

16 Tremont Street
#1
Chelsea, MA 02150
Phone (617) 632-6623

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
I20251224000667 MA Practitioner - Nurse Practitioner 9638346976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

450 Brookline Ave
Boston, MA 02215-5450

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
215647MAMDAmbulatory Care Registered Nurse
215647NPMAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dana-Farber Cancer Institute, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Dana-Farber Cancer Institute, Inc. Current Accepting new patients

Locations

44 Binney St
#460
Boston, MA 02115
Phone (617) 632-6623

450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061

Interoperability endpoints

  • Direct secure messaging: wolanski.andrew.dfci@direct.partners.masshiway.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1790724912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 TREMONT STREET",
            "address_2": "#1",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "02150",
            "telephone_number": "617-632-6623",
            "fax_number": "617-632-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 BINNEY STREET",
            "address_2": "SW460",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02115",
            "telephone_number": "617-632-6623",
            "fax_number": "617-632-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLANSKI",
        "first_name": "ANDREW",
        "middle_name": "P.",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "MA",
            "license": "215647",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MA",
            "license": "215647NP",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "215647NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.