Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carly Macken

Individual provider Family Nurse Practitioner · NPI 1790300291

Carly Macken is a Nurse Practitioner in Weymouth, Massachusetts. Qualified in 2020, 6 years ago. Practices with Brattleboro Retreat, a 61-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
6
Licensed in
MA
In the registry since
2020
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Practice location Address checks out

134 Burkhall St Apt 105
Weymouth, MA 02190-3571
Phone: (914) 500-5212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 23 Washington Pl E, White Plains, NY 10603-1716 — (914) 500-5212

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN2330353 (MA)

Record details

NPI number1790300291
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 10, 2020
Last updated in NPPESJune 10, 2020
Certification dateJune 10, 2020
Mailing address23 Washington Pl E, White Plains, NY 10603-1716

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Brattleboro Retreat — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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