NEW ENGLAND WELLNESS CENTER PLLC – Family Medicine Physician, NPI 1215819909

NEW ENGLAND WELLNESS CENTER PLLC is a healthcare provider. based in Hingham, Massachusetts. specializing in Family Medicine Physician. The NPI Number for NEW ENGLAND WELLNESS CENTER PLLC is 1215819909

Main info

Organization
Name
NEW ENGLAND WELLNESS CENTER PLLC
NPI
1215819909
Phone
(781) 745-9021
Address
1 DERBY ST STE 205
Authorized Official
SUSAN MCMACKIN OWNER NP-C
Enumeration Date
23 July 2025
Last Update Date
5 August 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness85
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for NEW ENGLAND WELLNESS CENTER PLLC

  • 1 DERBY ST STE 205

    HINGHAM, MA 020433786

    Phone: (781) 745-9021

    Fax: (781) 208-0935

    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: 2026-02-04

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
O20260204000375OClinic/Group PracticeMATBD

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 02043)

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Reviews

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Frequently asked questions

What federal number belongs to NEW ENGLAND WELLNESS CENTER PLLC?
The federal identifier for NEW ENGLAND WELLNESS CENTER PLLC is NPI 1215819909.
Is NEW ENGLAND WELLNESS CENTER PLLC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is NEW ENGLAND WELLNESS CENTER PLLC?
The page reflects Family Medicine Physician for NEW ENGLAND WELLNESS CENTER PLLC. Clinical services aligned with this taxonomy classification.
Where is NEW ENGLAND WELLNESS CENTER PLLC's primary listing?
We display Hingham, Massachusetts because that is what the record indicates for NEW ENGLAND WELLNESS CENTER PLLC.
How can I contact NEW ENGLAND WELLNESS CENTER PLLC?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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