Individual provider Active NPI

Peterson Remy, FNP-BC

  • Family Nurse Practitioner
  • Cambridge, MA
National Provider Identifier
1972059665
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2281249 Issued in MA
Practice address
119 Windsor St
Cambridge, MA 02139-3647
Phone
(617) 665-3600
Fax
(617) 665-3603
NPI assigned
Aug 31, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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 2281249 MA Primary

Addresses

Primary practice location

119 Windsor St
Cambridge, MA 02139-3647

Mailing address

119 Windsor St
Cambridge, MA 02139-3647
Phone (617) 665-3600

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
I20170802002510 MA Practitioner - Nurse Practitioner 1052682515 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cambridge Public Health CommissionGroup PAC ID 8921910894, 654 clinicians
Essex Inpatient Physicians PCGroup PAC ID 1850475450, 2 clinicians

Practice addresses (Care Compare)

1493 Cambridge St
Cambridge, MA 02139-1047
Phone (617) 665-1000

795 Turnpike St
North Andover, MA 01845-6128
Phone (978) 377-8381

Hospital & facility affiliations

  • Cambridge Health Alliance Hospital, Cambridge, MA, CCN 220011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2281249MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Hospitalists of New England, P.C. Family CurrentSince Jan 21, 2018 Accepting new patients
Cambridge Public Health Commission Current Accepting new patients
Ipc Hospitalists of New England PC CurrentSince Jan 21, 2018 Accepting new patients
Cambridge Public Health Commission CurrentSince Aug 31, 2019 Accepting new patients
DRX UC Watertown PC CurrentSince Jul 1, 2017 Accepting new patients
Essex Inpatient Physicians, PC CurrentSince Apr 1, 2024 Accepting new patients
Vantage Healthcare LLC CurrentSince Oct 5, 2020 Accepting new patients
Incare LLC CurrentSince Mar 13, 2024 Accepting new patients
DRX UC Watertown PC PastSince Jul 1, 2017 Accepting new patients

Locations

89 Morton St
Andover, MA 01810
Phone (978) 475-0944

1398 Massachusetts Ave
Arlington, MA 02476
Phone (781) 648-4572

119 Windsor St
Cambridge, MA 02139
Phone (617) 665-3600

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

45 Dan Rd
Canton, MA 02021
Phone (781) 318-3609

103 Garland St
Everett, MA 02149
Phone (617) 381-7150

20 N Maple St
Hadley, MA 01035
Phone (413) 584-5057

140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000

76 Summer St
Haverhill, MA 01830
Phone (978) 258-4734

70 East St
Methuen, MA 01844
Phone (978) 682-1906

10 Veterans Memorial Dr
Milford, MA 01757
Phone (508) 473-6414

67 Union St
Natick, MA 01760
Phone (508) 383-1104

795 Turnpike St
#201202
North Andover, MA 01845
Phone (978) 372-8000

565 Turnpike St
Ste 85
North Andover, MA 01845
Phone (978) 519-4114

204 Proctor Ave
Revere, MA 02151
Phone (781) 286-3100

111 Huntoon Memorial Hwy
Rochdale, MA 01542
Phone (508) 892-4858

37 State Highway 6A
Sandwich, MA 02563
Phone (508) 888-8222

819 Worcester St
Ste 3
Springfield, MA 01151
Phone (413) 543-6820

376 Arsenal St
Watertown, MA 02472
Phone (617) 923-2273

35 United Dr
Ste 102
West Bridgewater, MA 02379

Interoperability endpoints

  • Direct secure messaging: premy96553@direct.challiance.masshiway.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFBDD
  • FHIR API: https://api.platform.athenahealth.com/18780/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1972059665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 WINDSOR ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393647",
            "telephone_number": "617-665-3600",
            "fax_number": "617-665-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 WINDSOR ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393647",
            "telephone_number": "617-665-3600",
            "fax_number": "617-665-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMY",
        "first_name": "PETERSON",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-31",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2281249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.