Active NPI
Peterson Remy, FNP-BC
- Family Nurse Practitioner
- Cambridge, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2281249
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2281249 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ipc Hospitalists of New England, P.C. | Family | Current | Accepting new patients |
| Cambridge Public Health Commission | Current | Accepting new patients | |
| Ipc Hospitalists of New England PC | Current | Accepting new patients | |
| Cambridge Public Health Commission | Current | Accepting new patients | |
| DRX UC Watertown PC | Current | Accepting new patients | |
| Essex Inpatient Physicians, PC | Current | Accepting new patients | |
| Vantage Healthcare LLC | Current | Accepting new patients | |
| Incare LLC | Current | Accepting new patients | |
| DRX UC Watertown PC | Past | 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
- premy96553@direct.challiance.masshiway.net
- https://fhir4.healow.com/fhir/r4/CFFBDD
- 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.
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1659555266
Family, MA
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1487603585
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1801330287
-
- Urgent Care Clinic/Center
- Arlington, MA
- NPI 1407207269
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1487603585
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.