Individual provider Active NPI

Tina Vo

  • Family Nurse Practitioner
  • Gardner, MA
National Provider Identifier
1083365951
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2337124 Issued in MA
Practice address
266 Main St
Gardner, MA 01440-2927
Phone
(978) 248-5135
NPI assigned
Jan 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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 RN2337124 MA Primary

Addresses

Primary practice location

266 Main St
Gardner, MA 01440-2927

Mailing address

10 Nebraska St Unit 1
Worcester, MA 01604-3672
Phone (508) 615-0417

Other practice location 1

1086 Pleasant St
Worcester, MA 01602-1266
Phone (508) 615-0417

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
I20220222002204 MA Practitioner - Nurse Practitioner 0345634028 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heywood Medical Group Inc. 111 clinicians

Practice addresses (Care Compare)

250 Green St
Gardner, MA 01440-1396
Phone (978) 630-6460

Hospital & facility affiliations

  • Heywood Hospital - Hospital, Gardner, MA, CCN 220095
  • Athol Memorial Hospital Hospital, Athol, MA, CCN 221303

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2337124MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heywood Affiliated Medical Group Inc. CurrentSince Feb 1, 2022 Accepting new patients
Athol Memorial Hospital Incorporated Family CurrentSince Feb 1, 2022 Accepting new patients
Heywood Medical Group Inc. Family CurrentSince Feb 1, 2022 Accepting new patients

Locations

2033 Main St
Athol, MA 01331
Phone (978) 249-1295

81 Reservoir Dr
Athol, MA 01331
Phone (978) 248-5135

250 Green St
Gardner, MA 01440
Phone (978) 630-5050

266 Main St
Gardner, MA 01440
Phone (978) 630-5030

266 Main St
#R
Gardner, MA 01440

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

Interoperability endpoints

  • Direct secure messaging: tina.vo.1@192.direct.athenahealth.com

Organizations & group practices 3

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 3

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": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1083365951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NEBRASKA ST UNIT 1",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016043672",
            "telephone_number": "508-615-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 MAIN ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014402927",
            "telephone_number": "978-248-5135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1086 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016021266",
            "country_code": "US",
            "telephone_number": "508-615-0417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VO",
        "first_name": "TINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2337124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, MA

Sources for this page

Verify at the official NPI Registry.