Individual provider Active NPI

Krista E McGinnis, PMHNP

  • Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
  • Framingham, MA
National Provider Identifier
1083214043
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Family Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0810X
License
RN2294745 Issued in MA
Practice address
1881 Worcester Rd Ste 203
Framingham, MA 01701-5410
Phone
(508) 834-3183
Fax
(508) 532-1168
NPI assigned
Oct 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RN2294745 MA
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist 364SP0810X RN2294745 MA Primary

Addresses

Primary practice location

1881 Worcester Rd Ste 203
Framingham, MA 01701-5410

Mailing address

1881 Worcester Rd Ste 203
Framingham, MA 01701-5410
Phone (508) 834-3183

Other practice location 1

201 Great Rd Ste 202
Acton, MA 01720-5700
Phone (508) 834-3181

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
I20231220003031 MA Practitioner - Nurse Practitioner 6709236474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Progressive Therapeutics LLCGroup PAC ID 9638234750, 13 clinicians

Practice addresses (Care Compare)

1881 Worcester Rd
Suite 203
Framingham, MA 01701-5410
Phone (508) 834-3183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2294745MAMDChild & Family Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Therapeutics LLC CurrentSince Nov 13, 2023 Accepting new patients

Locations

201 Great Rd
Ste 202
Acton, MA 01720
Phone (508) 834-3181

1881 Worcester Rd
Ste 203
Framingham, MA 01701
Phone (508) 834-3183

Organizations & group practices 1

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": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1083214043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 WORCESTER RD STE 203",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017015410",
            "telephone_number": "508-834-3183",
            "fax_number": "508-532-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 WORCESTER RD STE 203",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017015410",
            "telephone_number": "508-834-3183",
            "fax_number": "508-532-1168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Great Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Acton",
            "state": "MA",
            "postal_code": "017205700",
            "country_code": "US",
            "telephone_number": "508-834-3181",
            "fax_number": "508-532-1168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGINNIS",
        "first_name": "KRISTA",
        "middle_name": "E",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "RN2294745",
            "primary": false
        },
        {
            "code": "364SP0810X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
            "state": "MA",
            "license": "RN2294745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.