Individual provider Active NPI

Marybeth Ann Trube, R.N.

  • Nurse Practitioner
  • Bridgewater, MA
National Provider Identifier
1851047997
Registry record updated Jul 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2300978 Issued in MA
Practice address
233 Broad St
Bridgewater, MA 02324-1786
Phone
(508) 807-5265
NPI assigned
Feb 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2300978 MA Primary

Addresses

Primary practice location

233 Broad St
Bridgewater, MA 02324-1786

Mailing address

233 Broad St
Bridgewater, MA 02324-1786
Phone (508) 807-5265

Other names 1

  • Marybeth Ann Guay 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
I20230830001737 MA Practitioner - Nurse Practitioner 8729441332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carecentral Urgent Care Medical Group PCGroup PAC ID 5496907099, 23 clinicians

Practice addresses (Care Compare)

233 Broad St
Bridgewater, MA 02324-1741
Phone (781) 341-2800

286 Washington St
Stoughton, MA 02072-1763
Phone (781) 742-4491

300 Plymouth St
Halifax, MA 02338-1344
Phone (781) 341-2800

682 Depot St
North Easton, MA 02356-2704
Phone (781) 341-2800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2300978MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carecentral Urgent Care Medical Group PC CurrentSince Oct 1, 2023 Accepting new patients
Carecentral Urgent Care Medical Group PC CurrentSince Oct 1, 2023 Accepting new patients

Locations

233 Broad St
Bridgewater, MA 02324
Phone (508) 697-2564

286 Washington St
Stoughton, MA 02072
Phone (781) 341-2800

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.

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688428800000",
    "number": "1851047997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 BROAD ST",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023241786",
            "telephone_number": "508-807-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 BROAD ST",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023241786",
            "telephone_number": "508-807-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUBE",
        "first_name": "MARYBETH",
        "middle_name": "ANN",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2023-07-04",
        "certification_date": "2023-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2300978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYBETH",
            "last_name": "GUAY",
            "middle_name": "ANN",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bridgewater, MA

Sources for this page

Verify at the official NPI Registry.