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

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.

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 (4 clinicians)

Practice addresses (Care Compare)

570 Baldwinville Rd
Baldwinville, MA 01436-1351
Phone (978) 939-2133

Hospital & facility affiliations

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

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 IDStateProvider typePAC IDDetails
I20250327001898 MA Practitioner - Nurse Practitioner 5597288803 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2324987MAMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Family Practice, PC Family Current
since Feb 4, 2025
Accepting new patients

Locations

570 Baldwinville Rd
Baldwinville, MA 01436
Phone (508) 939-2133

Interoperability endpoints

  • Direct secure messaging: alison.hietala.1@24634.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24634/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

All providers in Phillipston, MA · Family Nurse Practitioner in Massachusetts

Sources for this page

Verify at the official NPI Registry.