Individual provider Active NPI

Carolee Rose Harrigan, CNP

  • Family Nurse Practitioner
  • Pittsfield, MA
National Provider Identifier
1013471671
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN187634 Issued in MA
Practice address
631B North St
Pittsfield, MA 01201-4102
Phone
(413) 429-7013
NPI assigned
Jan 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN187634 MA Primary

Addresses

Primary practice location

631B North St
Pittsfield, MA 01201-4102

Mailing address

12 Welcome St
Great Barrington, MA 01230-1104
Phone (413) 429-7013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190326000900 MA Practitioner - Nurse Practitioner 8123368388 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Internal Medicine, Inc.Group PAC ID 0547203929, 14 clinicians
Suburban PaltcGroup PAC ID 4880134824, 12 clinicians

Practice addresses (Care Compare)

710 Stockbridge Rd
Lee, MA 01238-9316
Phone (413) 243-0122

Hospital & facility affiliations

  • Fairview Hospital Hospital, Great Barrington, MA, CCN 221302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN187634MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Hospital CurrentSince Feb 13, 2019 Accepting new patients
Berkshire Faculty Services Inc CurrentSince Feb 13, 2019 Accepting new patients
Suburban Paltc CurrentSince Apr 1, 2025 Accepting new patients
Suburban Internal Medicine, Inc. CurrentSince Apr 1, 2025 Accepting new patients

Locations

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

710 Stockbridge Rd
Lee, MA 01238
Phone (413) 243-0122

631B North St
Pittsfield, MA 01201
Phone (413) 499-2051

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

Interoperability endpoints

  • Direct secure messaging: caroleeharrigan@bfs.medalliesdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1013471671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WELCOME ST",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301104",
            "telephone_number": "413-429-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631B NORTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014102",
            "telephone_number": "413-429-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIGAN",
        "first_name": "CAROLEE",
        "middle_name": "ROSE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN187634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.