Individual provider Active NPI

Marcell Baez Patrone

  • Psychiatric/Mental Health Nurse Practitioner
  • Boston, MA
National Provider Identifier
1952068660
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2335621 Issued in MA
Practice address
81 Camden St
Boston, MA 02118-1303
Phone
(617) 642-8556
NPI assigned
Nov 17, 2021
Last updated
Apr 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2335621 MA Primary
Registered Nurse 163W00000X RN2335621 MA

Addresses

Primary practice location

81 Camden St
Boston, MA 02118-1303

Mailing address

81 Camden St
Boston, MA 02118-1303
Phone (617) 642-8556

Other practice location 1

348 N Pearl St Ste 200
Brockton, MA 02301-1197
Phone (508) 210-1163

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
I20230425000389 MA Practitioner - Nurse Practitioner 4385009489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eleanor Health Professional Ma, PLLCGroup PAC ID 7416360946, 12 clinicians

Practice addresses (Care Compare)

348 N Pearl St
Suite 200
Brockton, MA 02301-1197
Phone (508) 210-1163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2335621MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eleanor Health Professional Ma, PLLC CurrentSince May 1, 2023 Accepting new patients

Locations

348 N Pearl St
Ste 200
Brockton, MA 02301
Phone (508) 210-1163

221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611

108 Grove St
Ste 200
Worcester, MA 01605
Phone (774) 460-8436

Interoperability endpoints

  • Direct secure messaging: marcell.baez.patrone.1@21505.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1952068660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 CAMDEN ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021181303",
            "telephone_number": "617-642-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 CAMDEN ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021181303",
            "telephone_number": "617-642-8556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "348 N Pearl St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023011197",
            "country_code": "US",
            "telephone_number": "508-210-1163",
            "fax_number": "833-464-3408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAEZ PATRONE",
        "first_name": "MARCELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2335621",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2335621",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.