Kathleen Ammon, NP | NPI 1104282136

Key facts

NPI: 1104282136
Entity type: Individual (NPI type 1)
Primary specialty: Obstetrics & Gynecology Nurse Practitioner 363LX0001X
License: RN2278892 (MA)
Practice address: 50 Rowe St Ste 400
Melrose, MA 02176-3201
Phone: (781) 665-6606
Fax: (781) 665-1277
NPI assigned: Jan 6, 2016
Sex: Female
Sole proprietor: No

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.

Hallmark Health Medical Associates Inc Family Medicine Physician · Medford, MA · NPI 1770563900

Medicare reassignment Care Compare group NPD MA · OBSTETRICS & GYNECOLOGY
Womens Healthcare Associates, P.C. Obstetrics & Gynecology Physician · Melrose, MA · NPI 1497847768

NPD

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Melrosewakefield Healthcare, Inc. General Acute Care Hospital · Medford, MA · NPI 1841290467

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2015
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Hallmark Health Medical Associates Inc (151 clinicians)

Practice addresses (Care Compare)

109 Commercial St
Malden, MA 02148-5509
Phone (781) 388-4160

Hospital & facility affiliations

Melrosewakefield Healthcare Hospital · Melrose, MA · CCN 220070

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20160408001431	MA	Practitioner - Nurse Practitioner	1456659358	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Hallmark Health Medical Associates Inc	Obstetrics & Gynecology	Current since Feb 22, 2016	Accepting new patients
Womens Healthcare Associates, P.C.		Current since Feb 21, 2021	Accepting new patients

Locations

109 Commercial St
Malden, MA 02148
Phone (781) 338-4160

50 Rowe St
Melrose, MA 02176
Phone (781) 620-4944

50 Rowe St
Ste 400
Melrose, MA 02176
Phone (781) 665-6605

425 Revere St
Revere, MA 02151
Phone (781) 286-1313

Interoperability endpoints

Direct secure messaging: kammon28496@tuftsmedicine.direct-ci.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Obstetrics & Gynecology Nurse Practitioner	363LX0001X	RN2278892	MA	Yes

Addresses

Primary practice location

50 Rowe St Ste 400
Melrose, MA 02176-3201

Mailing address

50 Rowe St Ste 400
Melrose, MA 02176-3201
Phone (781) 665-6606

Other providers in Melrose, MA

All providers in Melrose, MA · Obstetrics & Gynecology Nurse Practitioner in Massachusetts

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.