MARLENE O'DONNELL (RD) – Registered Dietitian, NPI 1316910235

MARLENE O'DONNELL (RD) is a healthcare provider. based in Braintree, Massachusetts. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RD. They hold a License No. 1403 (MA). The NPI Number for MARLENE O'DONNELL (RD) is 1316910235

Main info

Female
44 Years Of Experience
Accepts Medicare Assignment
Name
MARLENE O'DONNELL (RD)
NPI
1316910235
Phone
(617) 629-6444
Address
111 GROSSMAN DR
Enumeration Date
10 February 2006
Last Update Date
8 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6173252800
Graduation Year
1982 (44 years ago)
PAC ID
1456323229
Group Practice PAC ID
4789588641
Professional Enrollment ID
I20040811000969
Address ID
MA024673628CH291XXDRXX300
Telehealth
Yes

Contacts

Secure Messaging
modonnell1909@direct.atrius.masshiway.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

249 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in MA

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Provider Addresses for MARLENE O'DONNELL (RD)

  • 111, Grossman Drive, The Marketplace at Braintree, Braintree, Norfolk County, Massachusetts, 02184, United States

    BRAINTREE, MA 021844997

    Phone: (617) 629-6444

    Fax: (617) 629-6070

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-11

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040811000969IRegistered Dietitian Or Nutrition ProfessionalMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97803Therapy procedure reassessment for nutrition management, each 15 minutes12129$0
97802Therapy procedure for nutrition management, each 15 minutes6422$0
View full utilization report →

Insurance plans in this area (ZIP 02184)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789588641View full group profile

Reviews

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Frequently asked questions

What federal number belongs to MARLENE O'DONNELL (RD)?
The federal identifier for MARLENE O'DONNELL (RD) is NPI 1316910235.
Does this profile mean MARLENE O'DONNELL (RD) is currently active?
Yes — MARLENE O'DONNELL (RD) appears active in the national provider directory.
Does MARLENE O'DONNELL (RD) list a primary specialty?
If you are matching referrals, note Registered Dietitian for MARLENE O'DONNELL (RD). Clinical services aligned with this taxonomy classification.
Where does public data place MARLENE O'DONNELL (RD)?
The snapshot lists Braintree, Massachusetts for MARLENE O'DONNELL (RD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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