Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487024980 Individual Practitioner Female Practitioner

Marietta Kenyan

Nurse Practitioner • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Marietta Kenyan 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.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N

Worcester, MA 016550002

Telephone 5083340689
Fax 5088563981
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
77.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
48 40 $412.33 $95.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
27 24 $300.59 $68.54

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA RN2266809

(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.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License MA RN2266809

Definition to come...

Practice Associates & Co-Workers

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

15 Associated Practitioners
Dr. Deepika Devuni , MD

Internal Medicine - Gastroenterology

NPI 1053501080

Doctor of Medicine (M.D.)

Dr. Harry Elvanides , MD

Internal Medicine - Gastroenterology

NPI 1164526869

Doctor of Medicine (M.D.)

Dr. Isabel Zacharias , MD

Internal Medicine - Gastroenterology

NPI 1265603948

Doctor of Medicine (M.D.)

Dr. Prashanth Rau , MD

Internal Medicine - Gastroenterology

NPI 1336501311

Doctor of Medicine (M.D.)

Julia Monroe , NP

Nurse Practitioner - Acute Care

NPI 1336749936

Nurse Practitioner

Amanda Maguschak , CNP

Nurse Practitioner - Acute Care

NPI 1417478249

Certified Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 25, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 25, 2016

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5083340689)

📍
Updated Business Mailing Address April 25, 2016

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

👤
Provider Name / Credentials Updated April 25, 2016

Recorded as MARIETTA KENYAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2016

Nurse Practitioner (License #RN2266809 in MA)

🟢
Initial NPI Registration & Enumeration September 28, 2015

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: 1487024980
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2015
Last Update: April 25, 2016
Sole Proprietor: No

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258885

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.