Individual provider Active NPI

Eleonora Azenstein, NP

  • Family Nurse Practitioner
  • Wellesley, MA
National Provider Identifier
1982983292
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2264132 Issued in MA
Practice address
65 Walnut St Ste 330
Wellesley, MA 02481-2154
Phone
(617) 875-9325
NPI assigned
Aug 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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 RN2264132 MA Primary

Addresses

Primary practice location

65 Walnut St Ste 330
Wellesley, MA 02481-2154

Mailing address

65 Walnut St Ste 330
Wellesley, MA 02481-2154
Phone (617) 630-0380

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
I20111006000054 MA Practitioner - Nurse Practitioner 6406028950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mass General Brigham Community Physicians Inc 430 clinicians
Physiotherapy Associates Inc 1,432 clinicians

Practice addresses (Care Compare)

11 Mount Auburn St
Watertown, MA 02472-3981
Phone (877) 937-8128

500 Merrimack St
Lawrence, MA 01843-1981
Phone (978) 557-8900

860 Route 134
Suite 5And6
South Dennis, MA 02660-2577
Phone (508) 385-4212

Hospital & facility affiliations

  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group, Inc. Current Accepting new patients
Mass General Brigham Community Physicians Inc CurrentSince May 20, 2024 Accepting new patients
Mass General Brigham Community Physicians Inc. CurrentSince May 20, 2024 Accepting new patients
Mass General Brigham Community Physicians Inc. Current Accepting new patients
Mass General Brigham Community Physicians Inc. Past Accepting new patients

Locations

500 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

399 Revolution Dr
Ste 1010
Somerville, MA 02145
Phone (857) 282-2063

11 Mount Auburn St
Watertown, MA 02472
Phone (781) 653-0100

Interoperability endpoints

  • Direct secure messaging: azenstein.eleonora.mgbicare@direct.partners.masshiway.net

Organizations & group practices 8

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 3

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": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1982983292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 WALNUT ST STE 330",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812154",
            "telephone_number": "617-630-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WALNUT ST STE 330",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812154",
            "telephone_number": "617-875-9325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZENSTEIN",
        "first_name": "ELEONORA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2023-11-29",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2264132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.