DEVON MARENGO
NPI 1497590640
Nurse Practitioner - Psychiatric/Mental Health in Burlington, MA

Q: What is Devon Marengo's NPI number?

The NPI number for Devon Marengo is 1497590640. It was assigned to this individual provider in the NPPES registry on June 28, 2024.

Q: What is Devon Marengo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Devon Marengo was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since June 28, 2024PECOS EnrolledAccepts Medicare Assignment

41 MALL RD, BURLINGTON, MA 01805(781) 744-8000 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 20, 2025, Jun 28, 2024 (2 updates tracked since 2024).

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About Devon Marengo NPPES

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

DEVON MARENGO (NPI 1497590640) is an individual psychiatric/mental health provider in Burlington, Massachusetts, licensed in Massachusetts (RN2322912) and active in the NPI registry since June 2024. The provider is enrolled in Medicare PECOS, is affiliated with Lahey Hospital & Medical Center, Burlington, and maintains a secondary practice location in Cambridge.

NPPES Registry Identity

NPI1497590640

Entity TypeIndividual

Primary Taxonomy363LP0808X

Provider Legal NameDEVON MARENGO

Location Address41 MALL RDBurlington, MA 01805-2903

Mailing Address41 Mall RdBurlington, MA 01805-0001 · (781) 744-8000

Phone(781) 744-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 28, 2024

Last NPPES UpdateFebruary 20, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 20, 2025

✔ NPI 1497590640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MA · RN2322912

Also ListedRegistered Nurse · College HealthTaxonomy 163WC1400X · License RN2322912 (MA), RN736350 (PA)

41 MALL RD, Burlington, MA 01805

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Secondary Practice Location 1

Location 11563 Massachusetts AveCambridge, MA 02138-2903 · Phone (617) 495-4414

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

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

Devon Marengo 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 ID3971032780

PECOS Enrollment IDI20250123002413

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220171

Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01805 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.

SAHOOR KHAN

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