Active NPI
Casie Hurd Short, PA-C
- Physician Assistant
- Gardner, MA
National Provider Identifier
1205067279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA3787
- Practice address
- 175 Connors St
Gardner, MA 01440-2637 - Phone
- (978) 410-6100
- NPI assigned
- Aug 7, 2009
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA3787 | MA | Primary |
Addresses
Primary practice location
175 Connors St
Gardner, MA 01440-2637
Mailing address
175 Connors St
Gardner, MA 01440-2637
Phone (978) 410-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110105155A | Medicaid | MA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
165 Mill St
Leominster, MA 01453-3289
Phone (978) 878-8100
175 Connors St
Gardner, MA 01440-2637
Phone (978) 410-6100
326 Nichols Rd
Fitchburg, MA 01420-1914
Phone (978) 878-8100
Hospital & facility affiliations
- Care Central Vna & Hospice Inc
- Vna Care Network
- Umass Memorial Healthalliance Hospitals
- Heywood Hospital -
- Umass Memorial Medical Center/University Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 82.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA3787 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients | |
| Umass Memorial Medical Group Inc | Physician Assistant | Current | Accepting new patients |
| Community Health Connections, Inc. | Past | Accepting new patients |
Locations
326 Nichols Rd
Fitchburg, MA 01420
Phone (978) 343-5270
60 Hospital Rd
Leominster, MA 01453
Phone (978) 466-2000
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Interoperability endpoints
- casie.short.p1@direct.chcfhc.nextgenshare.com
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Fitchburg, MA
- NPI 1477580827
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
Physician Assistant
-
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
-
- Federally Qualified Health Center (FQHC)
- Gardner, MA
- NPI 1285630533
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Gardner, MA
- NPI 1477526705
-
- General Acute Care Hospital
- Gardner, MA
- NPI 1205823879
-
- General Acute Care Hospital
- Leominster, MA
- NPI 1013995133
-
- Psychiatric Hospital Unit
- Clinton, MA
- NPI 1285171934
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1831151455
-
- Home Health Agency
- Worcester, MA
- NPI 1922002286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1205067279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 CONNORS ST",
"city": "GARDNER",
"state": "MA",
"postal_code": "014402637",
"telephone_number": "978-410-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 CONNORS ST",
"city": "GARDNER",
"state": "MA",
"postal_code": "014402637",
"telephone_number": "978-410-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORT",
"first_name": "CASIE",
"middle_name": "HURD",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-07",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA3787",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110105155A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gardner, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.