MARY ANGEVINE RN, CPNP-PC
NPI 1235968199
Nurse Practitioner - Pediatrics in Boston, MA
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
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Angevine Rn, Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Angevine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 1,358 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
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.
Which organization bills Medicare for Mary Angevine's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Angevine reassigns Medicare benefits to Children's Hospital Pediatric Associates, Inc (Boston, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Angevine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mary Angevine was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mary Angevine, RN, CPNP-PC · NPI 1235968199
Pediatrics physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since July 30, 2024.
## Identity
- **NPI:** 1235968199 (Entity type: Individual)
- **Enumerated:** July 30, 2024
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** RN2372448 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 LONGWOOD AVE, Boston, MA 02115-5724
- **Phone:** (617) 355-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Children's Hospital Pediatric Associates, Inc (NPI 1457306664, Boston, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1235968199) · Data from the CMS NPPES public registry.