Active NPI
Carolyn Anne Matheson, CNP
- Adult Health Nurse Practitioner
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN2283155
- Practice address
- 55 Fruit Street
Jackson 110
Boston, MA 02114 - Phone
- (857) 238-0535
- NPI assigned
- Jan 15, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN2283155 | MA | Primary |
Addresses
Primary practice location
55 Fruit Street
Jackson 110
Boston, MA 02114
Mailing address
780 Albany St
Boston, MA 02118-2755
Phone (857) 654-1000
Other practice location 1
10 Gove St
East Boston, MA 02128-1920
Phone (617) 569-5800
Other practice location 2
780 Albany St
Boston, MA 02118-2755
Phone (857) 654-1000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-2707
55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2283155 | MA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhealth Corporation | Current | Accepting new patients | |
| Internal Medical Associates-Ebnhc | Current | Accepting new patients | |
| Medical Associates of Ebnhc | Current | Accepting new patients | |
| Boston Health Care for the Homeless Program, Inc. | Current | Accepting new patients | |
| General Hospital Corp | Current | Accepting new patients | |
| The General Hospital Corporation | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Current | Accepting new patients |
Locations
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
780 Albany St
Fl 1
Boston, MA 02118
780 Albany St
Boston, MA 02118
Phone (857) 654-1000
780 Albany St
#2130
Boston, MA 02118
55 Fruit St
#110
Boston, MA 02114
Phone (617) 724-4100
10 Grove St
East Boston, MA 02128
Phone (617) 569-5800
Interoperability endpoints
- cmatheson32374@direct.neighborhealth.masshiway.net
- cmatheson188631@direct.ochin.org
- cmatheson208507@direct.ochin.org
- matheson.carolyn.mgh@direct.partners.masshiway.net
Organizations & group practices 8
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.
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
-
- Federally Qualified Health Center (FQHC)
- Boston, MA
- NPI 1033157771
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1558481879
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1316994411
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Federally Qualified Health Center (FQHC)
- Roxbury, MA
- NPI 1750958807
-
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1255451597
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737676800000",
"number": "1801133467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 ALBANY ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182755",
"telephone_number": "857-654-1000",
"fax_number": "857-654-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT STREET",
"address_2": "JACKSON 110",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "857-238-0535"
}
],
"practiceLocations": [
{
"address_1": "10 Gove St",
"address_purpose": "LOCATION",
"city": "East Boston",
"state": "MA",
"postal_code": "021281920",
"country_code": "US",
"telephone_number": "617-569-5800",
"fax_number": "617-568-4756",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "780 Albany St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182755",
"country_code": "US",
"telephone_number": "857-654-1000",
"fax_number": "857-654-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHESON",
"first_name": "CAROLYN",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-15",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "RN2283155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.