Individual provider Active NPI

Diane Ellen Joyce-Otis, NURSE PRACTIONER

  • Family Nurse Practitioner
  • Wellesley, MA
National Provider Identifier
1881867026
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
180324 Issued in MA
Practice address
65 Walnut St
Suite 590
Wellesley, MA 02481-2118
Phone
(781) 237-3395
Fax
(781) 237-3397
NPI assigned
Apr 9, 2008
Last updated
Apr 9, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 180324 MA Primary

Addresses

Primary practice location

65 Walnut St
Suite 590
Wellesley, MA 02481-2118

Mailing address

65 Walnut St
Suite 590
Wellesley, MA 02481-2118
Phone (781) 237-3395

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
I20150528000898 MA Practitioner - Nurse Practitioner 7012237399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Needham Wellesley Family Medicine PCGroup PAC ID 6507982873, 9 clinicians

Practice addresses (Care Compare)

65 Walnut St
Suite 420
Wellesley, MA 02481-2197
Phone (781) 235-3444

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
180324MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Needham Wellesley Family Medicine PC CurrentSince Jun 17, 2024 Accepting new patients
Newton Wellesley Hospital Current Accepting new patients

Locations

100 S Shore Dr
Ste 200
East Haven, CT 06512
Phone (217) 433-2804

65 Walnut St
Ste 420
Wellesley Hls, MA 02481
Phone (781) 235-3444

Interoperability endpoints

  • Direct secure messaging: joyce-otis.diane.nwh@direct.partners.masshiway.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1881867026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 WALNUT ST",
            "address_2": "SUITE 590",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812118",
            "telephone_number": "781-237-3395",
            "fax_number": "781-237-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WALNUT ST",
            "address_2": "SUITE 590",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812118",
            "telephone_number": "781-237-3395",
            "fax_number": "781-237-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOYCE-OTIS",
        "first_name": "DIANE",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "180324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.