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Katelyn Michelle Pento

Nurse Practitioner, Family in Weymouth, MA. Individual provider (NPI-1).

NPI number1164067831
StatusActive
Last updated in NPPESMar 23, 2020

Details

NPI
1164067831
Entity type
Individual (NPI-1)
Name
Katelyn Michelle Pento
Sex
Female
Sole proprietor
No
Enumeration date
Nov 17, 2019
Certification date
Mar 23, 2020
Last updated
Mar 23, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyRN275919MAYes
163WE0003X Registered Nurse, EmergencyRN275919MA

Practice location

330 Washington St
Weymouth, MA 02188-2932

Phone 781-626-5160

Mailing address

87 Bluejay Way
Pembroke, MA 02359-3341

Other practice locations

87 Bluejay Way
Pembroke, MA 02359-3341

Phone 781-831-2217

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Nurse Practitioner providers in Weymouth, MA

All 32 Family Nurse Practitioner providers in Weymouth · All 1,395 providers in Weymouth

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