Devon Marengo
Nurse Practitioner, Psych/Mental Health in Burlington, MA. Individual provider (NPI-1).
NPI number1497590640
StatusActive
Last updated in NPPESFeb 20, 2025
Details
- NPI
- 1497590640
- Entity type
- Individual (NPI-1)
- Name
- Devon Marengo
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2024
- Certification date
- Feb 20, 2025
- Last updated
- Feb 20, 2025
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | RN2322912 | MA | Yes |
| 163WC1400X | Registered Nurse, College Health | RN2322912 | MA | |
| 163WC1400X | Registered Nurse, College Health | RN736350 | PA |
Practice location
41 Mall RdBurlington, MA 01805-2903
Phone 781-744-8000
Mailing address
41 Mall RdBurlington, MA 01805-0001
Phone 781-744-8000
Other practice locations
1563 Massachusetts Ave
Cambridge, MA 02138-2903
Cambridge, MA 02138-2903
Phone 617-495-4414
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.
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All 22 Psychiatric/Mental Health Nurse Practitioner providers in Burlington · All 2,871 providers in Burlington
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