Individual provider Active NPI

Mary T Obrien, RN MSN CNM

  • Advanced Practice Midwife
  • Holyoke, MA
National Provider Identifier
1083614994
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
188081 Issued in MA
Practice address
230 Maple Street
Suite 200 Midwifery Care of Holyoke
Holyoke, MA 01040-6513
Phone
(413) 535-4700
Fax
(413) 535-4704
NPI assigned
Jul 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 188081 MA Primary

Addresses

Primary practice location

230 Maple Street
Suite 200 Midwifery Care of Holyoke
Holyoke, MA 01040-6513

Mailing address

260 New Ludlow Rd
Chicopee, MA 01020-4324
Phone (413) 533-3470

Other identifiers 5

IdentifierTypeStateIssuer
043202198OtherCIGNA
043202198OtherCBA
21220010314OtherBEECH STREET
CN0096OtherBCBS OF MA
40476OtherHEALTHY START

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051012000301 MA Practitioner - Certified Nurse Midwife (CNM) 5698790319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holyoke Medical Center IncGroup PAC ID 2163419383, 202 clinicians

Practice addresses (Care Compare)

15 Hospital Dr
Suite 501
Holyoke, MA 01040-6606
Phone (413) 534-2826

Hospital & facility affiliations

  • Holyoke Medical Center Hospital, Holyoke, MA, CCN 220024

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
188081MAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Holyoke Medical Center, Inc. CurrentSince Oct 1, 2020 Accepting new patients
Holyoke Medical Center, Inc. Past Accepting new patients

Locations

262 New Ludlow Rd
Chicopee, MA 01020
Phone (413) 535-4714

260 New Ludlow Rd
Chicopee, MA 01020
Phone (413) 533-3470

230 Maple St
Ste 200
Holyoke, MA 01040
Phone (413) 535-4700

230 Maple St
Ste 1
Holyoke, MA 01040
Phone (413) 420-6210

15 Hospital Dr
Ste 501
Holyoke, MA 01040
Phone (413) 534-2543

10 Hospital Dr
Ste 306
Holyoke, MA 01040
Phone (413) 539-6830

575 Beech St
Ste 402
Holyoke, MA 01040
Phone (413) 534-2820

230 Maple St
Ste 300
Holyoke, MA 01040
Phone (413) 534-2826

140 Southampton Rd
Westfield, MA 01085
Phone (413) 533-2452

Interoperability endpoints

  • Direct secure messaging: mary.obrien@direct.hmcs.masshiway.net

Organizations & group practices 2

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1083614994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 NEW LUDLOW RD",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010204324",
            "telephone_number": "413-533-3470",
            "fax_number": "413-533-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 MAPLE STREET",
            "address_2": "SUITE 200 MIDWIFERY CARE OF HOLYOKE",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010406513",
            "telephone_number": "413-535-4700",
            "fax_number": "413-535-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBRIEN",
        "first_name": "MARY",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "RN MSN CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "188081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "043202198",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBA",
            "identifier": "043202198",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH STREET",
            "identifier": "21220010314",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "CN0096",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY START",
            "identifier": "40476",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.