Individual provider Active NPI

Ashley Nicole Clancy-Gagnon, AUD

  • Audiologist
  • Pittsfield, MA
National Provider Identifier
1073200861
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
510 North St Ste 6
Pittsfield, MA 01201-5493
Phone
(413) 447-2225
NPI assigned
Apr 20, 2023
Last updated
Jun 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NU Primary

Addresses

Primary practice location

510 North St Ste 6
Pittsfield, MA 01201-5493

Mailing address

440 North St Apt 41
Pittsfield, MA 01201-4618
Phone (860) 558-4151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250423001659 MA Practitioner - Qualified Audiologist 5991220840 Reassigns benefits to 3 organizations
I20250612000128 MI Practitioner - Qualified Audiologist 5991220840 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Medical Center, Inc CurrentSince May 3, 2025 Accepting new patients
North Adams Regional Hospital Corporation CurrentSince May 3, 2025 Accepting new patients
North Adams Regional Hospital Corporation CurrentSince May 3, 2025 Accepting new patients
Berkshire Faculty Services Inc CurrentSince Jul 26, 2025 Accepting new patients
Fairview Hospital CurrentSince Jul 26, 2025 Accepting new patients
Berkshire Medical Center Inc. CurrentSince May 3, 2025 Accepting new patients

Locations

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

71 Hospital Ave
North Adams, MA 01247
Phone (413) 664-4343

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

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1073200861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 NORTH ST APT 41",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014618",
            "telephone_number": "860-558-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 NORTH ST STE 6",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015493",
            "telephone_number": "413-447-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLANCY-GAGNON",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2025-06-11",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.