RENAISSANCE FAMILY MEDICINE OF WELLESLEY LLC
NPI 1962826354
Family Medicine in Wellesley, MA
About Renaissance Family Medicine Of Wellesley Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENAISSANCE FAMILY MEDICINE OF WELLESLEY LLC (NPI 1962826354) is a healthcare organization registered as a family medicine in Wellesley, Massachusetts and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through December 10, 2026 and lists Geoffrey M Burns, Sole Proprietor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Renaissance Family Medicine Of Wellesley Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Renaissance Family Medicine Of Wellesley LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Wellesley Hills, MA 02481
Wellesley Hills, MA 02481
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 22D2088164
Renaissance Family Medicine Of Wellesley · Wellesley, MAFrequently 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 Renaissance Family Medicine Of Wellesley LLC's NPI number?
The NPI number for Renaissance Family Medicine Of Wellesley LLC is 1962826354. It was assigned to this organization in the NPPES registry on February 6, 2014.
Where is Renaissance Family Medicine Of Wellesley LLC located?
Renaissance Family Medicine Of Wellesley LLC is located at 332 Washington Street 200, Wellesley, MA 02481. The listed phone number is (781) 235-4088.
What is Renaissance Family Medicine Of Wellesley LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Renaissance Family Medicine Of Wellesley LLC enrolled in Medicare?
Yes. Renaissance Family Medicine Of Wellesley LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Renaissance Family Medicine Of Wellesley LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Renaissance Family Medicine Of Wellesley LLC, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Renaissance Family Medicine Of Wellesley LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 22D2088164) is associated with this NPI, valid through December 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Renaissance Family Medicine Of Wellesley LLC accept?
Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan list Renaissance Family Medicine Of Wellesley LLC 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 Renaissance Family Medicine Of Wellesley LLC was last updated on February 14, 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.
# Renaissance Family Medicine Of Wellesley Llc · NPI 1962826354
Family Medicine organization in Wellesley, Massachusetts. Organization record, active in the CMS NPPES registry since February 6, 2014.
## Identity
- **NPI:** 1962826354 (Entity type: Organization)
- **Enumerated:** February 6, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Geoffrey Burns, SOLE PROPRIETOR
## Practice location
- **Address:** 332 WASHINGTON STREET, 200, Wellesley, MA 02481-6217
- **Phone:** (781) 235-4088
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 14, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1962826354) · Data from the CMS NPPES public registry.