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

Luisa Mazaeva

Individual provider Family Nurse Practitioner · NPI 1235984410

Luisa Mazaeva is a Nurse Practitioner in Needham, Massachusetts. Qualified in 2023, 3 years ago. Practices with Greater Boston Family Medicine, PLLC, a 2-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2024
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Practice location Address checks out

35 Highland Cir Ste 101
Needham, MA 02494-3033
Phone: (857) 452-0865
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 31 Charles Park Rd, West Roxbury, MA 02132-4901 — (857) 452-0865

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN2340149 (MA)

Record details

NPI number1235984410
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 22, 2024
Last updated in NPPESJanuary 26, 2025
Certification dateJanuary 26, 2025
Mailing address35 Highland Cir Ste 101, Needham, MA 02494-3033

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Greater Boston Family Medicine, Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Needham