Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104845601 Individual Practitioner Female Practitioner

Mary Castonguay , NP

Nurse Practitioner • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Mary Castonguay, NP is a registered healthcare professional specializing in Nurse Practitioner in Worcester, MA. Practice services are available at 55 LAKE AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N
Department Of Pulmonary Medicine

Worcester, MA 016550002

Telephone 5088562781
Fax 5088562235
Associated Practice Facility / Clinic
🏢 Umass Memorial Medical Center Facility NPI 1679574933

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Worcester, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.9 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
506 Specialists

Practicing in Worcester, MA (3545 Statewide)

Telehealth Adoption Rate
17.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA 241433

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0799556 (MA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Adam Katz , PA-C

Physician Assistant

NPI 1174762165

Physician Assistant (Certified)

Elizabeth Cullen , NP

Nurse Practitioner

NPI 1225002520

Nurse Practitioner

Rebecca Rackliffe , NP

Nurse Practitioner

NPI 1437348257

Nurse Practitioner

Janis Tuxbury , NP

Nurse Practitioner

NPI 1841250495

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 02, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location December 02, 2010

Registered at 55 LAKE AVE N, DEPARTMENT OF PULMONARY MEDICINE, WORCESTER, MA 016550002 (Tel: 5088562781)

📍
Updated Business Mailing Address December 02, 2010

Registered at PO BOX 415348, BOSTON, MA 022415348

👤
Provider Name / Credentials Updated December 02, 2010

Recorded as MARY CASTONGUAY, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2010

Nurse Practitioner (License #241433 in MA)

🟢
Initial NPI Registration & Enumeration July 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104845601
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2006
Last Update: December 02, 2010
Sole Proprietor: No

Mailing Address

Po Box 415348

Boston, MA 022415348

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.