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Michelle Lauren Devincenzo

Physician β€’ Boston, MA

Active NPI 1093145906 Individual Practitioner Female Practitioner
Practice location in NPPES

300 Longwood Ave
Boston, MA 021155724

Call 6173557796 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

300 Longwood Ave

Boston, MA 021155724

Telephone 6173557796
Organization at the Same NPPES Address or Phone
Boston Children's Connected Care Of Connecticut, Pc Facility NPI 1518866573

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

General Acute Care Hospital - Children Primary Specialty

NUCC Taxonomy Code: 282NC2000X

License # reported to NPPES MA 278094
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Lauren Cullen , MSN, RN, CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1437693132

Master of Science in Nursing, Registered Nurse, CPNPPC

Dr. Michael Kurtz , MD

Urology - Pediatric Urology

NPI 1366647943

Doctor of Medicine (M.D.)

Dr. Richard Lee , MD

Urology - Pediatric Urology

NPI 1306051545

Doctor of Medicine (M.D.)

Shelby Mudarri , CPNP

Nurse Practitioner - Pediatrics

NPI 1386988426

Certified Pediatric Nurse Practitioner

NPI 1417487034

Doctor of Medicine (M.D.)

NPI 1043386808

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active October 25, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location October 25, 2017

Registered at 300 LONGWOOD AVE, BOSTON, MA 021155724 (Tel: 6173557796)

πŸ“
Updated Business Mailing Address October 25, 2017

Registered at 300 LONGWOOD AVE, BOSTON, MA 021155724

πŸ‘€
Provider Name / Credentials Updated October 25, 2017

Recorded as MICHELLE DEVINCENZO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2017

General Acute Care Hospital (license number reported to NPPES: MA 278094)

βœ…
NPI Profile Active November 14, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 14, 2013

Registered at 300 LONGWOOD AVE, BOSTON, MA 021155724 (Tel: 6173557796)

πŸ“
Business Mailing Address (Initial Record) November 14, 2013

Registered at 300 LONGWOOD AVE, BOSTON, MA 021155724

πŸ‘€
Provider Name / Credentials (Initial Record) November 14, 2013

Recorded as MICHELLE MCDONALD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2013

General Acute Care Hospital (license number reported to NPPES: MA 278094)

🟒
Initial NPI Registration & Enumeration November 14, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1093145906
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2013
Last Update: October 25, 2017
Sole Proprietor: Yes

Mailing Address

300 Longwood Ave

Boston, MA 021155724

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.