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

Marilynn Phung-Kolczewski, NP

Individual provider Family Nurse Practitioner · NPI 1538993431

Marilynn Phung-Kolczewski, NP is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2024, 2 years ago. Practices with Internal Medical Associates-Ebnhc, a 242-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2024
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

10 Gove St
Boston, MA 02128-1920
Phone: (617) 569-5800
Fax: (617) 568-4510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN2303034 (MA)

Record details

NPI number1538993431
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 2, 2024
Last updated in NPPESAugust 8, 2025
Certification dateAugust 8, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Internal Medical Associates-Ebnhc — 242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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