Alison Hietala, NP
Individual provider Active NPI Family Nurse Practitioner · Phillipston, MA
NPI 1104534536 · NPPES record last updated Feb 5, 2025
Key facts
- NPI
- 1104534536
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN2324987 (MA)
- Practice address
- 20 Powers Mill Rd
Phillipston, MA 01331-9700 - Phone
- (978) 895-6707
- NPI assigned
- Nov 15, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mountain View Family Practice PC
Practice addresses (Care Compare)
570 Baldwinville Rd
Baldwinville, MA 01436-1351
Phone (978) 939-2133
Hospital & facility affiliations
- Heywood Hospital -
- Athol Memorial Hospital
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 |
|---|---|---|---|---|
| I20250327001898 | MA | Practitioner - Nurse Practitioner | 5597288803 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2324987 | MA | MD | Emergency Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain View Family Practice, PC | Family | Current |
Accepting new patients |
Locations
570 Baldwinville Rd
Baldwinville, MA 01436
Phone (508) 939-2133
Interoperability endpoints
- alison.hietala.1@24634.direct.athenahealth.com
- https://api.platform.athenahealth.com/24634/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | RN2324987 | MA | |
| Family Nurse Practitioner | 363LF0000X | RN2324987 | MA | Yes |
Addresses
Primary practice location
20 Powers Mill Rd
Phillipston, MA 01331-9700
Mailing address
20 Powers Mill Rd
Phillipston, MA 01331-9700
Other providers in Phillipston, MA
- Fadi Baladi
- Monalisa Dupiton
- Fadi Baladi MD PC
- Kimberly M Disalle
- Vanessa Lara Marshall
- My Stomping Ground LLC
- New Beginnings Center for Youth and Families
- Elizabeth Nottleson
All providers in Phillipston, MA · Family 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 5, 2025. 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.