Individual provider Active NPI

Shirley Ryan Koss, FNP-C

  • Family Nurse Practitioner
  • Framingham, MA
National Provider Identifier
1902468457
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2301202 Issued in MA
Practice address
463 Worcester Rd Ste 104
Framingham, MA 01701-5354
Phone
(508) 650-0010
Fax
(508) 653-3916
NPI assigned
Jul 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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 RN2301202 MA Primary

Addresses

Primary practice location

463 Worcester Rd Ste 104
Framingham, MA 01701-5354

Mailing address

171 Main St Ste 203B
Ashland, MA 01721-1187
Phone (508) 881-3029

Other names 1

  • Shirley Frances Ryan Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Shirley.Koss.CRM@direct.partners.masshiway.net Direct

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
I20191230001141 MA Practitioner - Nurse Practitioner 4981038908 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

463 Worcester Rd
Suite 104
Framingham, MA 01701-5354
Phone (508) 650-0010

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Charles River Medical Associates PC CurrentSince Jun 2, 2025 Accepting new patients
Heart Center of Metrowest Inc CurrentSince Jun 11, 2024 Accepting new patients
Charles River Medical Associates PC CurrentSince Jun 2, 2025 Accepting new patients

Locations

171 Main St
Ste 203B
Ashland, MA 01721
Phone (508) 881-3029

99 Lincoln St
Framingham, MA 01702
Phone (508) 875-4811

600 Worcester Rd
Ste 504
Framingham, MA 01702
Phone (508) 875-0922

463 Worcester Rd
Ste 104
Framingham, MA 01701
Phone (508) 270-6334

Interoperability endpoints

  • Direct secure messaging: shirley.koss.crm@direct.partners.masshiway.net
  • Direct secure messaging: koss.shirley.crm@direct.partners.masshiway.net

Organizations & group practices 3

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 3

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": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1902468457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MAIN ST STE 203B",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017211187",
            "telephone_number": "508-881-3029",
            "fax_number": "508-881-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 WORCESTER RD STE 104",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017015354",
            "telephone_number": "508-650-0010",
            "fax_number": "508-653-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSS",
        "first_name": "SHIRLEY",
        "middle_name": "RYAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-05",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2301202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Shirley.Koss.CRM@direct.partners.masshiway.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "463 Worcester Rd Ste 104",
            "city": "Framingham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017015354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHIRLEY",
            "last_name": "RYAN",
            "middle_name": "FRANCES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.