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

Mary Katherine Marcellus, CNP

Individual provider Family Nurse Practitioner · NPI 1700662004

Mary Katherine Marcellus, CNP is a Nurse Practitioner in Mashpee, Massachusetts. Qualified in 2022, 4 years ago. Practices with Vantage Healthcare LLC, a 69-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2023
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

195 Falmouth Rd Apt 8A
Mashpee, MA 02649-2683
Phone: (802) 384-2061
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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 RN2329432 (MA)

Record details

NPI number1700662004
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedSeptember 4, 2023
Last updated in NPPESSeptember 4, 2023
Certification dateSeptember 4, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Vantage Healthcare Llc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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