Gregory Marcellin, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN2290802 Issued in MA

Practice address

1601 Washington St
Boston, MA 02118-1951

Phone

(617) 425-2000

NPI assigned

Aug 13, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, NH2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Convenientmd - FFS UC LLC

  • Urgent Care Clinic/Center
  • Worcester, MA
  • NPI 1790528628
  Medicare reassignment NPD
• Convenientmd - FFS UC LLC

  • Urgent Care Clinic/Center
  • Nashua, NH
  • NPI 1851082291
  Medicare reassignment NPD
• Mission Wellness Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Kensington, NH
  • NPI 1437862067
  NPD Authorized official
• Convenientmd - FFS UC LLC

  • Urgent Care Clinic/Center
  • Sturbridge, MA
  • NPI 1386526192
  NPD
• Convenientmd - FFS UC LLC

  • Urgent Care Clinic/Center
  • Newburyport, MA
  • NPI 1396436762
  NPD
• Convenientmd - FFS UC LLC

  • Urgent Care Clinic/Center
  • Dover, NH
  • NPI 1376234708
  NPD
• Convenientmd - FFS UC LLC

  • Urgent Care Clinic/Center
  • Stratham, NH
  • NPI 1275224610
  NPD (past)

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1881060861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 DYER AVE",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021491201",
            "telephone_number": "857-869-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021181951",
            "telephone_number": "617-425-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Portsmouth Ave",
            "address_purpose": "LOCATION",
            "city": "Stratham",
            "state": "NH",
            "postal_code": "038852585",
            "country_code": "US",
            "telephone_number": "603-772-3600",
            "fax_number": "603-772-3601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCELLIN",
        "first_name": "GREGORY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-13",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "6225",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2290802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Marcel-Saint-Louis Demertine, M.D.
• Jenny Marcelin
• Arfry Minier Marcelino-Tineo, MD
• Kristen Dawn Marcella, PA-C
• Mary Shannon Marcella, SLP-CCC
• Elizabeth Marcellino-Boisvert, PH.D.
• Aimee M. Marchand, RN
• Karen Fontaine Marchand, M.S.
• Laurent Marchand, DMD
• Aika Mary Marchant

• Family Nurse Practitioner in Boston, MA
• Providers in Boston, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.