Mercy Family Practice PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MERCY FAMILY PRACTICE PC

Practice address

250 Green St
Suite 200
Gardner, MA 01440-1396

Phone

(978) 632-6445

Fax

(978) 630-3603

NPI assigned

Nov 16, 2005

Organization subpart

No

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

Authorized official

Name

Rebecca Worden, M.D.NPI 1659352706

Title

Cfo

Phone

(978) 632-6445

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: rebeccaworden@mfpc.allscriptsdirect.net
• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/72053
• Direct secure messaging: barbarawalker@mfpc.allscriptsdirect.net
• Direct secure messaging: aimeebeck@mfpc.allscriptsdirect.net
• Direct secure messaging: johnworden@mfpc.allscriptsdirect.net

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca M. Worden, M.D.

  • Family Medicine Physician
  • Gardner, MA
  • NPI 1659352706
  Medicare reassignment Care Compare group NPD Authorized official
• John Worden, M.D.

  • Family Medicine Physician
  • Gardner, MA
  • NPI 1326020223
  Medicare reassignment Care Compare group NPD
• Aimee Beck, DNP, FNP

  • Family Nurse Practitioner
  • Worcester, MA
  • NPI 1265802342
  Medicare reassignment NPD
• Mary C. Russell, MD

  • Family Medicine Physician
  • Concord, NC
  • NPI 1154396778
  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1295717106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 GREEN ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014401396",
            "telephone_number": "978-632-6445",
            "fax_number": "978-630-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 GREEN ST",
            "address_2": "SUITE 200",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014401396",
            "telephone_number": "978-632-6445",
            "fax_number": "978-630-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "WORDEN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "978-632-6445",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9732250",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110069347-A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Dudley McLellan, MA, MBA
• Christine M. McMahon, FNP-C
• Lisa Marie McNamara, HIS
• Rose Anette Melendez
• Matthew Robert Menard, PHARMD
• Brooke Elisabeth Merrifield, BS
• Sarah Ashley Meyers
• Michael Azzoni, MD
• Thomas Bryan Miller III, MD
• Aubrey Milligan, BS

• Family Medicine Physician in Gardner, MA
• Providers in Gardner, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.