MARK ANTHONY FIGUEROA FNP-BC, PMHNP-BC
NPI 1689334369
Nurse Practitioner - Psychiatric/Mental Health in Stoneham, MA
About Mark Anthony Figueroa Fnp-bc, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK ANTHONY FIGUEROA FNP-BC, PMHNP-BC (NPI 1689334369) is an individual psychiatric/mental health provider in Stoneham, Massachusetts, licensed in Massachusetts (RN2349307) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 3
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
Mark Anthony Figueroa Fnp-bc, Pmhnp-bc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mark Figueroa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stoneham, MA 02180
- Reassigned Medicare billing, Massachusetts enrollment
Woburn, MA 01801
- Reassigned Medicare billing, Massachusetts enrollment
- 11 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 02180 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 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STONEHAM, MA 02180
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 Mark Figueroa's NPI number?
The NPI number for Mark Figueroa is 1689334369. It was assigned to this individual provider in the NPPES registry on December 22, 2021.
Where is Mark Figueroa located?
Mark Figueroa practices at 61 Main St, Stoneham, MA 02180. The listed phone number is (781) 438-2927.
What is Mark Figueroa's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mark Figueroa enrolled in Medicare?
Yes. Mark Figueroa 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 Mark Figueroa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Figueroa reassigns Medicare benefits to 2 organizations: Stonehaven Psych Care (Stoneham, MA) and Jal Practice (Woburn, 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 Mark Figueroa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Figueroa accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, CareSource (Common Ground Healthcare), Harvard Pilgrim Health Care and UnitedHealthcare list Mark Figueroa 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 Mark Figueroa was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mark Anthony Figueroa, FNP-BC, PMHNP-BC · NPI 1689334369
Psychiatric/Mental Health physician in Stoneham, Massachusetts. Individual provider, active in the CMS NPPES registry since December 22, 2021.
## Identity
- **NPI:** 1689334369 (Entity type: Individual)
- **Enumerated:** December 22, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** RN2349307 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 61 MAIN ST, Stoneham, MA 02180-3346
- **Phone:** (781) 438-2927 · **Fax:** (339) 999-0741
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Stonehaven Psych Care (NPI 1295542090, Stoneham, MA); Jal Practice (NPI 1730802687, Woburn, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** February 19, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1689334369) · Data from the CMS NPPES public registry.