Individual provider Active NPI

Marissa Jane Casillo, FNP

  • Family Nurse Practitioner
  • Foxboro, MA
National Provider Identifier
1972251817
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2273512 Issued in MA
Practice address
18 Washington St
Foxboro, MA 02035-1072
Phone
(781) 551-5812
NPI assigned
Mar 10, 2022
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F03210086 MA
Family Nurse Practitioner 363LF0000X RN2273512 MA Primary

Addresses

Primary practice location

18 Washington St
Foxboro, MA 02035-1072

Mailing address

18 Washington St
Foxboro, MA 02035-1072
Phone (781) 551-5812

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
I20220506000557 MA Practitioner - Nurse Practitioner 6608253927 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F03210086MAMDFamily Nurse Practitioner
RN2273512MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Center of New England, P.C. CurrentSince Mar 21, 2022 Accepting new patients

Locations

9 Payson Rd
Ste 100
Foxboro, MA 02035
Phone (781) 551-5812

15 Payson Rd
Foxborough, MA 02035
Phone (781) 551-5812

18 Washington St
Foxborough, MA 02035
Phone (508) 698-0044

9 Payson Rd
Foxborough, MA 02035
Phone (774) 215-9075

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCJBCA

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": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1972251817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 WASHINGTON ST",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020351072",
            "telephone_number": "781-551-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 WASHINGTON ST",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020351072",
            "telephone_number": "781-551-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASILLO",
        "first_name": "MARISSA",
        "middle_name": "JANE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "F03210086",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2273512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foxboro, MA

Sources for this page

Verify at the official NPI Registry.