Individual provider Active NPI

Katelyn Jean Maronn, PA-C

  • Physician Assistant
  • Westford, MA
National Provider Identifier
1932776408
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA8149 Issued in MA
Practice address
133 Littleton Rd
Westford, MA 01886-3115
Phone
(978) 577-1946
NPI assigned
Jun 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA8149 MA Primary

Addresses

Primary practice location

133 Littleton Rd
Westford, MA 01886-3115

Mailing address

8 Schouler CT
Arlington, MA 02476-4709
Phone (774) 200-0377

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
I20210914001572 MA Practitioner - Physician Assistant 7810393097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

133 Littleton Rd
Suite 202
Westford, MA 01886-3198
Phone (978) 577-1946

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Community Physicians Inc. CurrentSince Nov 1, 2021 Accepting new patients
Mass General Brigham Urgent Care LLC Current Accepting new patients

Locations

399 Revolution Dr
Ste 1010
Somerville, MA 02145
Phone (857) 282-2063

133 Littleton Rd
Westford, MA 01886
Phone (978) 589-6800

133 Littleton Rd
Ste 202
Westford, MA 01886
Phone (978) 577-1946

Interoperability endpoints

  • Direct secure messaging: perkins.katelyn.mgbcp@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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1932776408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SCHOULER CT",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764709",
            "telephone_number": "774-200-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 LITTLETON RD",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863115",
            "telephone_number": "978-577-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARONN",
        "first_name": "KATELYN",
        "middle_name": "JEAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA8149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westford, MA

Sources for this page

Verify at the official NPI Registry.