Individual provider Active NPI

Chelsea Lee Gagne, FNP-C

  • Family Nurse Practitioner
  • Gardner, MA
National Provider Identifier
1104541432
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10220376 Issued in MA
Practice address
57 City Hall Ave
Gardner, MA 01440-2614
Phone
(978) 630-3862
Fax
(978) 630-4176
NPI assigned
Oct 10, 2022
Last updated
Oct 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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 F10220376 MA Primary

Addresses

Primary practice location

57 City Hall Ave
Gardner, MA 01440-2614

Mailing address

350 Riverbend St Unit 6
Athol, MA 01331-2542
Phone (978) 467-7002

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
I20230227000896 MA Practitioner - Nurse Practitioner 8426421249 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2033 Main St
Athol, MA 01331-3535
Phone (978) 249-3511

Hospital & facility affiliations

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F10220376MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gardner Family Medicine, Inc. CurrentSince Jan 16, 2023 Accepting new patients
Heywood Medical Group Inc. Family CurrentSince Jan 24, 2026 Accepting new patients

Locations

2033 Main St
Athol, MA 01331
Phone (978) 249-3511

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

57 City Hall Ave
Gardner, MA 01440
Phone (978) 630-3862

Interoperability endpoints

  • Direct secure messaging: chelsea.gagne.1@192.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1039/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1104541432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 RIVERBEND ST UNIT 6",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "013312542",
            "telephone_number": "978-467-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 CITY HALL AVE",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014402614",
            "telephone_number": "978-630-3862",
            "fax_number": "978-630-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNE",
        "first_name": "CHELSEA",
        "middle_name": "LEE",
        "name_prefix": "Miss",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "F10220376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, MA

Sources for this page

Verify at the official NPI Registry.