Individual provider Active NPI

Carrie O'Regan, PA-C

  • Physician Assistant
  • Wellesley, MA
National Provider Identifier
1982019873
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA5043 Issued in MA
Practice address
20 Walnut St Ste 14
Wellesley, MA 02481-2104
Phone
(781) 591-7855
Fax
(781) 591-7854
NPI assigned
Jun 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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 PA5043 MA Primary

Addresses

Primary practice location

20 Walnut St Ste 14
Wellesley, MA 02481-2104

Mailing address

35 United Dr Ste 102
West Bridgewater, MA 02379-1056

Other names 1

  • Carrie Disa Former name

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
I20140916000685 MA Practitioner - Physician Assistant 8921227422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Boston Sports and Spine LLCGroup PAC ID 7810335601, 3 clinicians

Practice addresses (Care Compare)

20 Walnut St
Suite 14
Wellesley, MA 02481-2104
Phone (781) 591-7855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA5043MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Sports & Spine LLC CurrentSince Dec 18, 2025 Accepting new patients

Locations

15 Roche Brothers Way
North Easton, MA 02356
Phone (781) 545-9273

15 Roche Brothers Way
Ste 210
North Easton, MA 02356
Phone (781) 297-8001

20 Walnut St
Ste 14
Wellesley Hills, MA 02481
Phone (781) 591-7855

35 United Dr
Ste 102
West Bridgewater, MA 02379

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1982019873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 UNITED DR STE 102",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WALNUT ST STE 14",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812104",
            "telephone_number": "781-591-7855",
            "fax_number": "781-591-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'REGAN",
        "first_name": "CARRIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA5043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "DISA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.