Active NPI
Diane S Rutan, NP
- Obstetrics & Gynecology Nurse Practitioner
- Weymouth, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 194231
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
51 Performance Dr
Weymouth, MA 02189-3141
Phone (781) 624-8000
Hospital & facility affiliations
- South Shore Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 72.58 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 194231 | MA | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Medical Center, Inc. | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Past | 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.
-
- Internal Medicine Physician
- Norwell, MA
- NPI 1669411856
-
- Surgery Physician
- Boston, MA
- NPI 1720037385
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Weymouth, MA
- NPI 1134227606
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.