Rebecca M Gamache, FNP
Individual provider Active NPI Family Nurse Practitioner · Pittsfield, MA
NPI 1174065841 · NPPES record last updated Nov 15, 2017
Key facts
- NPI
- 1174065841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN2274553 (MA)
- Practice address
- 510 North Street
Pittsfield, MA 01201 - Phone
- (413) 447-2351
- Fax
- (413) 445-7009
- NPI assigned
- Nov 13, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Programs Inc
Practice addresses (Care Compare)
510 N St
Pittsfield, MA 01201-5493
Phone (413) 447-2351
Hospital & facility affiliations
- Centerwell Home Health
- Berkshire Visiting Nurse Association
- Berkshire Medical Center
- North Adams Regional Hospital Corporation
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 |
|---|---|---|---|---|
| I20170816004535 | MA | Practitioner - Nurse Practitioner | 6507138120 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2274553 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Programs, Inc. | Current |
Accepting new patients | |
| Community Health Programs, Inc. | Current |
Accepting new patients | |
| Community Health Programs | Past | Accepting new patients |
Locations
510 North St
Ste 1
Pittsfield, MA 01201
Phone (413) 447-2351
Interoperability endpoints
- rebecca.gamache.1@3792.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2274553 | MA | |
| Family Nurse Practitioner | 363LF0000X | RN2274553 | MA | Yes |
Addresses
Primary practice location
510 North Street
Pittsfield, MA 01201
Mailing address
P.O. Box 30
Great Barrington, MA 01230
Phone (413) 528-9311
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110120734A | Medicaid | MA |
Other providers in Pittsfield, MA
- Lanie Galman
- Stephanie Galt
- Christian R Galvez-Padilla
- Lisa Campagna Gamache
- Paul J . R. Gamache
- Nicole Marie Gamberoni
- Dari Gambino-Kendig
- Adriene Gambles
- Scott Garber
- April Gardner
All providers in Pittsfield, 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 Nov 15, 2017. 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.