Individual provider Active NPI

Mara Wermuth, NP

  • Nurse Practitioner
  • Bedford, MA
National Provider Identifier
1902885130
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
105469 Issued in MA
Practice address
1609 Eglin St
Bedford, MA 01731-2613
Phone
(781) 377-4740
Fax
(781) 274-8538
NPI assigned
Jan 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 105469 MA Primary

Addresses

Primary practice location

1609 Eglin St
Bedford, MA 01731-2613

Mailing address

77 Warren St
Brighton, MA 02135-3601
Phone (617) 562-5413

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
I20050629000709 MA Practitioner - Nurse Practitioner 7517903651 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BMC Affiliated Physicians, Inc.Group PAC ID 9830133123, 543 clinicians
Steward St Elizabeths Medical Center of Boston IncGroup PAC ID 3476749540, 9 clinicians

Practice addresses (Care Compare)

235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000

77 Warren St
Brighton, MA 02135-3601

77 Warren St 1St Floor
St Elizabeths Health Care at BMHC
Brighton, MA 02135-3601

77 Warren St 1St Floor and 2ND Floor
St Elizabeths Health Care at BMHC
Brighton, MA 02135-3601
Phone (617) 562-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
105469MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Steward St. Elizabeth'S Medical Center of Boston, Inc. CurrentSince Nov 6, 2010 Accepting new patients
Steward St. Elizabeth'S Medical Center of Boston, Inc. CurrentSince Nov 6, 2010 Accepting new patients
BMC Affiliated Physicians, Inc. CurrentSince Apr 1, 2025 Accepting new patients

Locations

77 Warren St
#2
Brighton, MA 02135

77 Warren St
Brighton, MA 02135
Phone (617) 254-1271

77 Warren St
Fl 1
Brighton, MA 02135
Phone (617) 562-5200

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

1609 Eglin St
Hanscom AFB, MA 01731
Phone (781) 377-4740

312 Bedford St
Whitman, MA 02382
Phone (781) 447-8700

Interoperability endpoints

  • Direct secure messaging: mwermuth259939@direct.bmc.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 and National Provider Directory roles.

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": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902885130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WARREN ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353601",
            "telephone_number": "617-562-5413",
            "fax_number": "617-562-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 EGLIN ST",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017312613",
            "telephone_number": "781-377-4740",
            "fax_number": "781-274-8538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERMUTH",
        "first_name": "MARA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "105469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, MA

Sources for this page

Verify at the official NPI Registry.