MEDICARE: INSULET CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1013914027
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSULET CORPORATION

Provider Business Mailing Address
First Line	:	100 NAGOG PARK
Second Line	:
City	:	ACTON
State	:	MA
Zip	:	01720-3428
Country	:	US
Telephone Number	:	978-600-7000
Fax Number	:	877-467-8538

Provider Business Practice Location Address
First Line	:	100 NAGOG PARK
Second Line	:
City	:	ACTON
State	:	MA
Zip	:	01720-3428
Country	:	US
Telephone Number	:	978-600-7000
Fax Number	:	877-467-8538

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	MR. SHACEY PETROVIC
Credential	:
Telephone Number	:	978-600-7759

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	01/15/2020

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Directions to “INSULET CORPORATION ” Practice Location

Language	Start Address	Practice Location

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