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ELLEN NICOLE EARLE MD
NPI 1457927931
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since June 03, 2021PECOS Enrolled
330 BROOKLINE AVE, BOSTON, MA 02215(617) 667-7000 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 2, 2024, Jun 3, 2021 (2 updates tracked since 2021).

About Ellen Nicole Earle Md NPPES

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

ELLEN NICOLE EARLE MD (NPI 1457927931) is an individual student in an organized health care education/training program in Boston, Massachusetts, licensed in Massachusetts (289233) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457927931
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELLEN NICOLE EARLECredential: MD
Location Address330 BROOKLINE AVEBoston, MA 02215-5400
Mailing Address330 Brookline AveBoston, MA 02215-5400 · (617) 667-7000
Phone(617) 667-7000
Sole ProprietorNo
Enumeration DateJune 3, 2021
Last NPPES UpdateJuly 2, 20242 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
✔ NPI 1457927931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MA · 289233
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
330 BROOKLINE AVE, Boston, MA 02215
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellen Nicole Earle Md 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.

Referred Medical Equipment & Supplies CMS DME claims

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; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$33.28 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.

BETH ISRAEL DEACONESS MEDICAL CENTER
Chronic Disease Hospital (Children)
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 677-4042
DR. BRIAN DANIEL HOBBS MD, MMSC
Internal Medicine
330 BROOKLINE AVE, PULMONARY AND CRITICAL CARE DEPARTMENT
BOSTON, MA 02215
Suffolk County (617) 667-5864
ERICA DOMMASCH MD
Dermatology
330 BROOKLINE AVE, SHAPIRO 2
BOSTON, MA 02215
Suffolk County (617) 667-3753
VAHID KIARAD M.D
Anesthesiology
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000
DR. JONATHAN DAVID THOMAS MD
Internal Medicine (Hematology)
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000
JULIA MARIE BERG MD
Internal Medicine
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000
DR. MICHAEL R GOLDSTEIN PHD
Psychologist (Clinical)
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 356-7246
SARA MURDOCK CAHILL MD
Hospitalist
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000

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 Ellen Earle's NPI number?

The NPI number for Ellen Earle is 1457927931. It was assigned to this individual provider in the NPPES registry on June 3, 2021.

Where is Ellen Earle located?

Ellen Earle practices at 330 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 667-7000.

What is Ellen Earle's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ellen Earle enrolled in Medicare?

Yes. Ellen Earle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ellen Earle was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.