MARVEL LAROSE – Foster Care Agency, NPI 1407209620

MARVEL LAROSE is a healthcare provider. based in Roxbury, Massachusetts. specializing in NURSE PRACTITIONER. They hold a License No. RN2292446 (MA). The NPI Number for MARVEL LAROSE is 1407209620

Main info

Male
Sole Proprietor
2 Years Of Experience
Name
MARVEL LAROSE
NPI
1407209620
Phone
Not provided
Address
73 CEDAR ST
Enumeration Date
22 July 2016
Last Update Date
5 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2024 (2 years ago)
PAC ID
7517390826
Professional Enrollment ID
I20260224003356
Address ID
NJ077310000HO27XXXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Loading map...

Provider Addresses for MARVEL LAROSE

  • 73, Cedar Street, Roxbury Crossing, Roxbury, Boston, Suffolk County, Massachusetts, 02119, United States

    SUITE 1

    ROXBURY, MA 021191428

    Phone:

    Type: Mailing

  • 101 S MAIN ST

    RANDOLPH, MA 023684896

    Phone: (857) 991-0110

    Type: Mailing

  • 217, Chestnut Street, Randolph, Norfolk County, Massachusetts, 02368, United States

    RANDOLPH, MA 023682407

    Phone: (857) 991-0110

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2026-02-24

PECOS data refreshed: 2026-05-27

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
I20260224003356INurse PractitionerMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02119)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What identifier follows MARVEL LAROSE across health systems?
The NPI 1407209620 uniquely identifies MARVEL LAROSE in U.S. healthcare data.
Is MARVEL LAROSE's NPI status active today?
Active status means MARVEL LAROSE's NPI record is not deactivated in the public file.
What type of care does MARVEL LAROSE provide?
MARVEL LAROSE's profile centers on Foster Care Agency. Clinical services aligned with this taxonomy classification.
Is MARVEL LAROSE tied to Roxbury, Massachusetts?
If you are local to Roxbury, Massachusetts, MARVEL LAROSE may be relevant to your search.
Can I export MARVEL LAROSE's record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

21st Century AFC

Home Health Agency
866, Washington Street, Canton Corner, Canton, Norfolk County, Massachusetts, 02021, United States
NPI: 1649367939

NORTH AMERICAN FAMILY INSTITUTE, INC.

In Home Supportive Care Agency
85 EXECUTIVE BLVD UPPR LEVEL
NPI: 1700913944

MASSACHUSETTS MENTOR LLC

Foster Care Agency
280 BRIDGE ST
NPI: 1811021090
49 LEXINGTON ST
NPI: 1386763639