Active NPI
Ellen M McCafferty-Oconnell, NP
- Gerontology Nurse Practitioner
- Quincy, MA
National Provider Identifier
1184692766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 164362
- Practice address
- 1250 Hancock St
Quincy, MA 02169-4339 - Phone
- (617) 774-0820
- Fax
- (617) 774-0832
- NPI assigned
- Mar 9, 2006
- Last updated
- Feb 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 164362 | MA | Primary |
Addresses
Primary practice location
1250 Hancock St
Quincy, MA 02169-4339
Mailing address
1250 Hancock St
Quincy, MA 02169-4339
Phone (617) 774-0820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP1768 | Other | MA | BCBS |
Other names 1
- Ellen M McCafferty
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | emccaffertyoconnellnp20666@direct.atrius.masshiway.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164362 | MA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brigham and Womens Physicians Organization Inc | Past | Accepting new patients | |
| Cape Cod Healthcare, Inc | Past | Accepting new patients | |
| Emerald Physician Services, LLC | Past | Accepting new patients |
Interoperability endpoints
- emccaffertyoconnellnp20666@direct.atrius.masshiway.net
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1184692766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 HANCOCK ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021694339",
"telephone_number": "617-774-0820",
"fax_number": "617-774-0832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 HANCOCK ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021694339",
"telephone_number": "617-774-0820",
"fax_number": "617-774-0832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCAFFERTY-OCONNELL",
"first_name": "ELLEN",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-09",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MA",
"license": "164362",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NP1768",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "emccaffertyoconnellnp20666@direct.atrius.masshiway.net",
"affiliation": "N",
"address_1": "1250 Hancock St",
"city": "Quincy",
"state": "MA",
"country_code": "US",
"postal_code": "021694339",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ELLEN",
"last_name": "MCCAFFERTY",
"middle_name": "M",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.