MARVEL LAROSE
NPI 1407209620
Foster Care Agency in Randolph, MA

Active since July 22, 2016PECOS EnrolledAccepts Medicare Assignment
217 CHESTNUT ST, RANDOLPH, MA 02368(857) 991-0110 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 5, 2025, Jun 27, 2025, Oct 29, 2019 (3 updates tracked since 2019).

About Marvel Larose NPPES

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

MARVEL LAROSE (NPI 1407209620) is an individual foster care agency provider in Randolph, Massachusetts and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1407209620
Entity TypeIndividualMale
Primary Taxonomy253J00000X
Provider Legal NameMARVEL LAROSE
Location Address217 CHESTNUT STRandolph, MA 02368-2407
Mailing Address101 S Main StRandolph, MA 02368-4896 · (857) 991-0110
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 22, 2016
Last NPPES UpdateDecember 5, 20253 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
✔ NPI 1407209620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFoster Care AgencyAgencies
Taxonomy Code253J00000X
Definition
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License RN2292446 (MA)
217 CHESTNUT ST, Randolph, MA 02368

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marvel Larose 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 ID7517390826
PECOS Enrollment IDI20260224003356
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Marvel Larose reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric/Mental Health
1017 TURNPIKE ST, UNITS 31A, 32A ,33
Canton, MA 02021
  • Reassigned Medicare billing, Massachusetts enrollment
  • 16 clinicians in this Medicare group
Clinical
150 LINCOLN ST
Needham, MA 02492
  • Reassigned Medicare billing, Massachusetts enrollment
  • 240 clinicians in this Medicare group
Internal Medicine
544 MAIN ST
Worcester, MA 01608
  • Reassigned Medicare billing, Massachusetts enrollment
  • 31 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.

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 Marvel Larose's NPI number?

The NPI number for Marvel Larose is 1407209620. It was assigned to this individual provider in the NPPES registry on July 22, 2016.

Where is Marvel Larose located?

Marvel Larose practices at 217 Chestnut St, Randolph, MA 02368. The listed phone number is (857) 991-0110.

What is Marvel Larose's specialty?

The primary specialty registered for this NPI is Foster Care Agency with taxonomy code 253J00000X.

Is Marvel Larose enrolled in Medicare?

Yes. Marvel Larose 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.

Which organizations bill Medicare for Marvel Larose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marvel Larose reassigns Medicare benefits to 3 organizations: First-Class Behavioral & Counseling Services (Canton, MA), Supportive Behavioral Care Of Ma LLC (Needham, MA) and New England Hospitalists PC (Worcester, MA). Each 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 Marvel Larose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marvel Larose accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Marvel Larose as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marvel Larose was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.