Individual provider Active NPI

Laura Falkiewicz, FNP

  • Family Nurse Practitioner
  • Mansfield, MA
National Provider Identifier
1801203799
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2277064 Issued in MA
Practice address
200 Copeland Dr
Mansfield, MA 02048-1225
Phone
(508) 339-4144
Fax
(508) 261-9940
NPI assigned
Jul 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2277064 MA Primary

Addresses

Primary practice location

200 Copeland Dr
Mansfield, MA 02048-1225

Mailing address

409 W Broadway
South Boston, MA 02127-2245
Phone (617) 269-7500

Other practice location 1

409 W Broadway
South Boston, MA 02127
Phone (617) 269-7500

Other names 1

  • Laura Pepdjonovic Former name

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
I20160519001718 MA Practitioner - Nurse Practitioner 0143519850 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Care of Boston Management CorporationGroup PAC ID 6800787714, 293 clinicians

Practice addresses (Care Compare)

464 Hillside Ave
Suite 304
Needham, MA 02494-1228
Phone (617) 754-0747

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2277064MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Boston Community Health Center CurrentSince Mar 1, 2016 Accepting new patients
Sturdy Memorial Hospital Inc CurrentSince Dec 1, 2018 Accepting new patients
Medical Care of Boston Management Corporation CurrentSince Feb 2, 2022 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Past Accepting new patients

Locations

200 Copeland Dr
Mansfield, MA 02048
Phone (508) 339-4144

50 North St
Medfield, MA 02052
Phone (508) 359-1519

464 Hillside Ave
Ste 304
Needham, MA 02494
Phone (617) 754-0549

93 Pond St
Sharon, MA 02067
Phone (781) 784-9212

211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200

409 W Broadway
South Boston, MA 02127
Phone (617) 269-7500

112 Worcester St
Wellesley, MA 02481

Interoperability endpoints

  • Direct secure messaging: lfalkiewicz456537@direct.bilh.masshiway.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1801203799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W BROADWAY",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "021272245",
            "telephone_number": "617-269-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COPELAND DR",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481225",
            "telephone_number": "508-339-4144",
            "fax_number": "508-261-9940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 W Broadway",
            "address_purpose": "LOCATION",
            "city": "South Boston",
            "state": "MA",
            "postal_code": "02127",
            "country_code": "US",
            "telephone_number": "617-269-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALKIEWICZ",
        "first_name": "LAURA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-13",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2277064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "PEPDJONOVIC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mansfield, MA

Sources for this page

Verify at the official NPI Registry.