Individual provider Active NPI

Caroline Kern Privitt, CNM

  • Advanced Practice Midwife
  • Lowell, MA
National Provider Identifier
1043869423
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN2389145 Issued in MA
Practice address
161 Jackson St
Lowell, MA 01852-2103
Phone
(978) 937-9700
Fax
(978) 221-6728
NPI assigned
Sep 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 001972 NY
Advanced Practice Midwife 367A00000X 089532-23 NH
Advanced Practice Midwife 367A00000X RN2389145 MA Primary

Addresses

Primary practice location

161 Jackson St
Lowell, MA 01852-2103

Mailing address

PO Box 412503
Boston, MA 02241-2503
Phone (603) 749-4963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200109000957 NY Practitioner - Certified Nurse Midwife (CNM) 6103251772 Reassigns benefits to 2 organizations
I20240627001090 MA Practitioner - Certified Nurse Midwife (CNM) 6103251772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lowell Community Health Center, Inc.Group PAC ID 6204807944, 85 clinicians

Practice addresses (Care Compare)

101 Jackson St
Lowell, MA 01852-2103
Phone (978) 937-9700

161 Jackson St
Lowell, MA 01852-2103
Phone (978) 937-9700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
089532-23NHMDAdvanced Practice Midwife
001972NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Strong Obstetrics-Gynecology Group CurrentSince Oct 1, 2021 Accepting new patients
Lowell Community Health Center, Inc. CurrentSince Apr 16, 2024 Accepting new patients
Highlands Womens Health CurrentSince Nov 9, 2019 Accepting new patients
Lowell Community Health Center, Inc. CurrentSince Apr 16, 2024 Accepting new patients

Locations

101 Jackson St
Lowell, MA 01852
Phone (978) 459-8656

161 Jackson St
Lowell, MA 01852
Phone (978) 746-7867

601 Elmwood Ave
#668
Rochester, NY 14642
Phone (585) 275-2691

909 Culver Rd
Rochester, NY 14609
Phone (585) 275-7892

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

1000 South Ave
#116
Rochester, NY 14620
Phone (585) 341-6734

500 Red Creek Dr
Ste 210
Rochester, NY 14623
Phone (585) 487-3330

601 Elmwood Ave
#320
Rochester, NY 14642

Interoperability endpoints

  • Direct secure messaging: ckern192914@direct.urmc.rochester.edu
  • Direct secure messaging: cprivitt46945@direct.ctc.masshiway.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.

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1043869423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412503",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412503",
            "telephone_number": "603-749-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 JACKSON ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018522103",
            "telephone_number": "978-937-9700",
            "fax_number": "978-221-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIVITT",
        "first_name": "CAROLINE",
        "middle_name": "KERN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "001972",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NH",
            "license": "089532-23",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "RN2389145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.