MARA WERMUTH (NP) – Nurse Practitioner, NPI 1902885130

MARA WERMUTH (NP) is a healthcare provider. based in Brighton, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 105469 (MA). The NPI Number for MARA WERMUTH (NP) is 1902885130

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
MARA WERMUTH (NP)
NPI
1902885130
Phone
(617) 562-5413
Address
77 WARREN ST
Enumeration Date
16 January 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6175625525
Graduation Year
1996 (30 years ago)
PAC ID
7517903651
Group Practice PAC ID
9830133123
Professional Enrollment ID
I20050629000709
Address ID
MA021353601BR77XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

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Provider Addresses for MARA WERMUTH (NP)

  • US Family Health Plan at Brighton Marine, 77, Warren Street, Aberdeen, Allston, Boston, Suffolk County, Massachusetts, 02135, United States

    BRIGHTON, MA 021353601

    Phone: (617) 562-5413

    Fax: (617) 562-5415

    Type: Mailing

  • Eglin Street, Bedford, Middlesex County, Massachusetts, 01731, United States

    BEDFORD, MA 017312613

    Phone: (781) 377-4740

    Fax: (781) 274-8538

    Type: Location

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: 2005-06-29

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
I20050629000709INurse 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 02135)

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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: 9830133123View full group profile
NameSpecialtyState
Emergency MedicineMA
Diagnostic RadiologyMA
Anesthesiology, Pain ManagementMA
Physician AssistantMA
Internal Medicine, Infectious DiseaseMA
Physician AssistantMA
Hospitalist, Internal MedicineMA
Pulmonary Disease, Infectious DiseaseMA
Pulmonary Disease, Critical Care (Intensivists)MA
Physician AssistantMA

Reviews

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Frequently asked questions

How is MARA WERMUTH (NP) identified in CMS data?
CMS-hosted NPPES data lists MARA WERMUTH (NP) with NPI 1902885130.
Is MARA WERMUTH (NP) still practicing?
MARA WERMUTH (NP) is currently listed as active in the public NPI registry.
What is MARA WERMUTH (NP)'s specialty?
The listing groups MARA WERMUTH (NP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MARA WERMUTH (NP) list a practice location?
Patients near Brighton, Massachusetts may find MARA WERMUTH (NP) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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