Individual provider Active NPI

Nnenna O Onyemauwa, PA

  • Medical Physician Assistant
  • Bedford, MA
National Provider Identifier
1982037438
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA8068 Issued in MA
Practice address
55 North Rd Ste 120
Bedford, MA 01730-1078
Phone
(339) 215-5100
NPI assigned
Aug 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA8068 MA Primary

Addresses

Primary practice location

55 North Rd Ste 120
Bedford, MA 01730-1078

Mailing address

55 North Rd Ste 120
Bedford, MA 01730-1078
Phone (339) 215-5100

Other identifiers 1

IdentifierTypeStateIssuer
009472700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130927000366 FL Practitioner - Physician Assistant 6002040318 Reassigns benefits to 1 organization
I20210901000270 MA Practitioner - Physician Assistant 6002040318 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atrius Health IncGroup PAC ID 4789588641, 1,214 clinicians
Emerson Practice Associates, IncGroup PAC ID 8123188117, 247 clinicians

Practice addresses (Care Compare)

100 2ND Ave
Needham, MA 02494-2809
Phone (781) 726-4800

133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1000

133 Old Rd to 9 Acre Cor
Concord, MA 01742-4159
Phone (978) 287-3020

133 Old Rd to Nine Acre Corner
Mary Beth Misserville
Concord, MA 01742-4159

228 Billerica Rd
Chelmsford, MA 01824-3604
Phone (978) 250-6000

Hospital & facility affiliations

  • Emerson Hospital - Hospital, W Concord, MA, CCN 220084

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA8068MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Sep 1, 2021 Accepting new patients
Steward Medical Group, Inc CurrentSince Sep 1, 2021 Accepting new patients
Atrius Health, Inc. CurrentSince Dec 2, 2025 Accepting new patients
Atrius Health, Inc. CurrentSince Dec 2, 2025 Accepting new patients
Atrius Health, Inc. Past Accepting new patients

Locations

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

228 Billerica Rd
Chelmsford, MA 01824
Phone (978) 250-6000

9 Galen St
Watertown, MA 02472
Phone (617) 562-5413

Interoperability endpoints

  • Direct secure messaging: onyemauwa.nnenna.epa@direct.partners.masshiway.net

Organizations & group practices 7

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 1

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": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1982037438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 NORTH RD STE 120",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301078",
            "telephone_number": "339-215-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 NORTH RD STE 120",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301078",
            "telephone_number": "339-215-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYEMAUWA",
        "first_name": "NNENNA",
        "middle_name": "O",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA8068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009472700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, MA

Sources for this page

Verify at the official NPI Registry.