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MARY ANGEVINE RN, CPNP-PC
NPI 1235968199
Nurse Practitioner - Pediatrics in Boston, MA

Active since July 30, 2024PECOS Enrolled
300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-6000 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 9, 2024, Jul 30, 2024 (2 updates tracked since 2024).

About Mary Angevine Rn, Cpnp-pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ANGEVINE RN, CPNP-PC (NPI 1235968199) is an individual pediatrics provider in Boston, Massachusetts, licensed in Massachusetts (RN2372448) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1235968199
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARY ANGEVINECredential: RN, CPNP-PC
Location Address300 LONGWOOD AVEBoston, MA 02115-5724
Mailing Address300 Longwood AveBoston, MA 02115-5724
Phone(617) 355-6000
Sole ProprietorNo
Enumeration DateJuly 30, 2024
Last NPPES UpdateDecember 9, 20242 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
✔ NPI 1235968199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MA · RN2372448
300 LONGWOOD AVE, Boston, MA 02115
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12 Brookline PlBrookline, MA 02445-7230 · Phone (617) 355-6117
Location 210 Centennial DrPeabody, MA 01960-7938 · Phone (781) 216-3400

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Angevine Rn, Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE ANN HANSEN LCSW
Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (857) 218-4309
MS. ANNA ROGLIERI
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
STEPHEN G. FLYNN M.D.
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
MISS LAUREN ASHLEY MASTERSON P.T., D.P.T
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-7216
MS. SOYUN KWAN LICSW
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Suffolk County (617) 355-0567
PUJA BANKA M.D.
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Suffolk County (617) 355-6363
MR. COURTNEY SULLIVAN FRATTO CPNP
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Suffolk County (857) 218-4085
DR. ELIZABETH S TAGLAUER M.D., PH.D.
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Angevine's NPI number?

The NPI number for Mary Angevine is 1235968199. It was assigned to this individual provider in the NPPES registry on July 30, 2024.

Where is Mary Angevine located?

Mary Angevine practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6000.

What is Mary Angevine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Mary Angevine enrolled in Medicare?

Yes. Mary Angevine is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Angevine was last updated on December 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.