Individual provider Active NPI

Ian Penn

  • Family Nurse Practitioner
  • North Easton, MA
National Provider Identifier
1912389123
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2267783 Issued in MA
Practice address
3 Washington St Ste 220
North Easton, MA 02356-1034
Phone
(508) 230-0155
Fax
(508) 230-0145
NPI assigned
Jun 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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 RN2267783 MA Primary

Addresses

Primary practice location

3 Washington St Ste 220
North Easton, MA 02356-1034

Mailing address

3 Washington St Ste 220
North Easton, MA 02356-1034
Phone (508) 230-0155

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
I20160413001336 MA Practitioner - Nurse Practitioner 7810928199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Trinity Family MedicineGroup PAC ID 8729145479, 5 clinicians

Practice addresses (Care Compare)

3 Washington St
Suite 220
North Easton, MA 02356-1034
Phone (508) 230-0155

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2267783MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Family Medicine CurrentSince Apr 11, 2016 Accepting new patients

Locations

3 Washington St
Ste 220
North Easton, MA 02356
Phone (508) 230-0155

15 Roche Brothers Way
Ste 150
North Easton, MA 02356

Interoperability endpoints

  • Direct secure messaging: ian.penn.1@2020.direct.athenahealth.com

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.

Hospital & facility affiliations 4

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": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1912389123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WASHINGTON ST STE 220",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561034",
            "telephone_number": "508-230-0155",
            "fax_number": "508-230-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WASHINGTON ST STE 220",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561034",
            "telephone_number": "508-230-0155",
            "fax_number": "508-230-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENN",
        "first_name": "IAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-24",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2267783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Easton, MA

Sources for this page

Verify at the official NPI Registry.