Individual provider Active NPI

Elisabeth Ann Macdonald, PA

  • Physician Assistant
  • Natick, MA
National Provider Identifier
1255860474
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA6140 Issued in MA
Practice address
67 Union Street
Mob Suite 308
Natick, MA 01760
Phone
(508) 655-4422
Fax
(508) 655-9191
NPI assigned
Jun 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA6140 MA Primary

Addresses

Primary practice location

67 Union Street
Mob Suite 308
Natick, MA 01760

Mailing address

67 Union Street
Mob Suite 308
Natick, MA 01760
Phone (508) 655-4422

Other practice location 1

19 Bramble Bush Dr
Falmouth, MA 02540-2325
Phone (508) 540-7555

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
I20170731002540 MA Practitioner - Physician Assistant 0446521033 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brockton Urology Clinic Inc Current Accepting new patients
Metrowest Urology, P.C. CurrentSince Jun 30, 2024 Accepting new patients
Metrowest Urologic Associates PC CurrentSince Jun 30, 2024 Accepting new patients

Locations

19 Bramble Bush Dr
Falmouth, MA 02540
Phone (508) 540-7555

161 Worcester Rd
Ste 601
Framingham, MA 01701
Phone (508) 370-7703

67 Union St
Ofc
Natick, MA 01760
Phone (508) 333-7333

67 Union St
Ste 308
Natick, MA 01760
Phone (508) 650-7922

31 Roche Brothers Way
Ste 100
North Easton, MA 02356
Phone (508) 238-0800

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc05634_metrowesturologicassoc
  • Direct secure messaging: emacdonald134731@tuftsmedicine.direct-ci.com
  • Direct secure messaging: elisabeth.macdonald.1@32594.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1255860474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 UNION STREET",
            "address_2": "MOB SUITE 308",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "01760",
            "telephone_number": "508-655-4422",
            "fax_number": "508-655-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 UNION STREET",
            "address_2": "MOB SUITE 308",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "01760",
            "telephone_number": "508-655-4422",
            "fax_number": "508-655-9191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Bramble Bush Dr",
            "address_purpose": "LOCATION",
            "city": "Falmouth",
            "state": "MA",
            "postal_code": "025402325",
            "country_code": "US",
            "telephone_number": "508-540-7555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "ELISABETH",
        "middle_name": "ANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2024-06-26",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA6140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

Verify at the official NPI Registry.