Individual provider Active NPI

Diane S Rutan, NP

  • Obstetrics & Gynecology Nurse Practitioner
  • Weymouth, MA
National Provider Identifier
1811021678
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
194231 Issued in MA
Practice address
90 Libbey Pkwy
Weymouth, MA 02189-3129
Phone
(339) 201-4120
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 194231 MA Primary

Addresses

Primary practice location

90 Libbey Pkwy
Weymouth, MA 02189-3129

Mailing address

90 Libbey Pkwy
Weymouth, MA 02189-3129
Phone (339) 201-4120

Other practice location 1

51 Performance Dr
Weymouth, MA 02189-3141
Phone (781) 682-8000

Other practice location 2

118 Long Pond Rd
Plymouth, MA 02360-2662
Phone (774) 773-9976

Other practice location 3

1495 Hancock St
Quincy, MA 02169-5229
Phone (781) 878-5200

Other practice location 4

689 Bedford St
Whitman, MA 02382-1807
Phone (781) 447-4001

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
I20100602000259 MA Practitioner - Nurse Practitioner 1557490489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Shore Medical Center, Inc.Group PAC ID 3678487444, 174 clinicians

Practice addresses (Care Compare)

51 Performance Dr
Weymouth, MA 02189-3141
Phone (781) 624-8000

Hospital & facility affiliations

  • South Shore Hospital Hospital, South Weymouth, MA, CCN 220100

Merit-based Incentive Payment System (MIPS)

Final score
72.58 of 100Reported as group
Quality
58.14
Promoting interoperability
74
Improvement activities
40
Cost
72.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
194231MAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Medical Center, Inc. CurrentSince Apr 17, 2023 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc PastSince Feb 1, 2013 Accepting new patients

Locations

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

118 Long Pond Rd
Plymouth, MA 02360
Phone (508) 747-6762

118 Long Pond Rd
Ste 200
Plymouth, MA 02360
Phone (508) 830-2282

1495 Hancock St
Quincy, MA 02169
Phone (617) 745-4100

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

90 Libbey Park
Ste 105
Weymouth, MA 02189
Phone (339) 201-4120

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

51 Performance Dr
Weymouth, MA 02189
Phone (781) 337-5555

689 Bedford St
Whitman, MA 02382
Phone (781) 447-4001

Organizations & group practices 2

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1811021678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 LIBBEY PKWY",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893129",
            "telephone_number": "339-201-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 LIBBEY PKWY",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893129",
            "telephone_number": "339-201-4120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 Performance Dr",
            "address_purpose": "LOCATION",
            "city": "Weymouth",
            "state": "MA",
            "postal_code": "021893141",
            "country_code": "US",
            "telephone_number": "781-682-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 Long Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023602662",
            "country_code": "US",
            "telephone_number": "774-773-9976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1495 Hancock St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "021695229",
            "country_code": "US",
            "telephone_number": "781-878-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "689 Bedford St",
            "address_purpose": "LOCATION",
            "city": "Whitman",
            "state": "MA",
            "postal_code": "023821807",
            "country_code": "US",
            "telephone_number": "781-447-4001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTAN",
        "first_name": "DIANE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MA",
            "license": "194231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

Verify at the official NPI Registry.