Individual provider Active NPI

Vicky Muller, FNP-BC

  • Family Nurse Practitioner
  • Wilmington, MA
National Provider Identifier
1861119554
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2318799 Issued in MA
Practice address
222 Main St
Wilmington, MA 01887-2341
Phone
(978) 658-3377
NPI assigned
Oct 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 808028 NY
Registered Nurse 163W00000X RN2318799 MA
Nurse Practitioner 363L00000X RN2318799 MA
Family Nurse Practitioner 363LF0000X RN2318799 MA Primary

Addresses

Primary practice location

222 Main St
Wilmington, MA 01887-2341

Mailing address

222 Main St
Wilmington, MA 01887-2341

Other practice location 1

4055 Valley View Ln
Dallas, TX 75244-5074
Phone (817) 988-0806

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
I20230302001894 MA Practitioner - Nurse Practitioner 9537532080 Reassigns benefits to 2 organizations

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
Minuteclinic Diagnostic of Massachusetts, LLCGroup PAC ID 2264594944, 106 clinicians

Practice addresses (Care Compare)

222 Main St
Wilmington, MA 01887-2341
Phone (866) 389-2727

311 Newbury St
Danvers, MA 01923-1027
Phone (866) 389-2727

414 Union St
Ashland, MA 01721-2154
Phone (866) 389-2727

44 W Boylston St
Worcester, MA 01605-1261
Phone (866) 389-2727

68 Main St
Andover, MA 01810-3846
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2318799MAMDRegistered Nurse
808028NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Massachusetts LLC Family CurrentSince Feb 14, 2023 Accepting new patients

Locations

270 Grove St
Braintree, MA 02184
Phone (781) 356-0714

311 Newbury St
Danvers, MA 01923
Phone (978) 605-0100

1025 Central St
Stoughton, MA 02072
Phone 7813416114 ext. 8221

222 Main St
Wilmington, MA 01887
Phone (855) 389-2727

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 1

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": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1861119554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 MAIN ST",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MAIN ST",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872341",
            "telephone_number": "978-658-3377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4055 Valley View Ln",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752445074",
            "country_code": "US",
            "telephone_number": "817-988-0806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLER",
        "first_name": "VICKY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "808028",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2318799",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2318799",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2318799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, MA

Sources for this page

Verify at the official NPI Registry.