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MARYANNE O'TOOLE NP
NPI 1376623645
Nurse Practitioner - Adult Health in Provincetown, MA

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
49 HARRY KEMP WAY, PROVINCETOWN, MA 02657(508) 487-9395(508) 487-3285 Get Directions Write a Review

NPPES record last updated: December 8, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maryanne O'toole Np NPPES

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

MARYANNE O'TOOLE NP (NPI 1376623645) is an individual adult health provider in Provincetown, Massachusetts, licensed in Massachusetts (190922) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1376623645
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMARYANNE O'TOOLECredential: NP
Location Address49 HARRY KEMP WAYProvincetown, MA 02657
Mailing AddressPo Box 1413Wellfleet, MA 02667 · (508) 240-0208 · Fax (508) 240-0499
Phone(508) 487-9395
Fax(508) 487-3285
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateOctober 17, 2006
Last NPPES UpdateDecember 8, 2011
✔ NPI 1376623645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MA · 190922
49 HARRY KEMP WAY, Provincetown, MA 02657
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Other Identifiers 5

Medicare UPINS31656MA
Medicaid0710822MA
OtherNP0166MA · Connecticare
Medicare PINNP0166MA
OtherNP0166MA · Blue Cross

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maryanne O'toole Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264477645
PECOS Enrollment IDI20050627000280
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,381 services199 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
250 services58 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
139 services129 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
96 services93 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
81 services42 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
79 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02657 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier16 claims16 services$14.61 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier17 claims17 services$65.30 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers24 claims24 services$13.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

WILLIAM E SHAY MD
Internal Medicine
49 HARRY KEMP WAY
PROVINCETOWN, MA 02657
Barnstable County (508) 487-9395
ANDREW CARL JORGENSEN M.D.
Internal Medicine
49 HARRY KEMP WAY
PROVINCETOWN, MA 02657
Barnstable County (508) 487-9395
MR. JOHN MICHAEL TREEFUL RDH
Dental Hygienist
49 HARRY KEMP WAY
PROVINCETOWN, MA 02657
Barnstable County (508) 487-9395
LINDA A ARECTOS MS
Audiologist
49 HARRY KEMP WAY, AUDIOLOGY DEPT
PROVINCETOWN, MA 02657
Barnstable County (508) 487-9395
HARBOR HEALTH SERVICES, INC.
Dentist (General Practice)
49 HARRY KEMP WAY
PROVINCETOWN, MA 02657
Barnstable County (508) 778-5440
DR. MICHAEL SENTMAN HENDERSON OD
Optometrist
49 HARRY KEMP WAY
PROVINCETOWN, MA 02657
Barnstable County (508) 432-1400
MARWA ELLEBOUDY BDS, LD
Dentist (General Practice)
49 HARRY KEMP WAY, OUTER CAPE HEALTH SERVICES, INC.
PROVINCETOWN, MA 02657
Barnstable County (508) 487-9395
MARIA COYNE
Nurse Practitioner (Family)
49 HARRY KEMP WAY
PROVINCETOWN, MA 02657
Barnstable County (508) 487-9395

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 Maryanne O'toole's NPI number?

The NPI number for Maryanne O'toole is 1376623645. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Maryanne O'toole located?

Maryanne O'toole practices at 49 Harry Kemp Way, Provincetown, MA 02657. The listed phone number is (508) 487-9395.

What is Maryanne O'toole's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Maryanne O'toole enrolled in Medicare?

Yes. Maryanne O'toole is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Maryanne O'toole was last updated on December 8, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.