Individual provider Active NPI

Carol Reich, FNP-BC, CPNP

  • Family Nurse Practitioner
  • Winchendon, MA
National Provider Identifier
1366854481
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2271151 Issued in MA
Practice address
55 Hospital Dr
Winchendon, MA 01475-1820
Phone
(978) 297-2311
NPI assigned
May 22, 2014
Last updated
May 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2271151 MA Primary
Pediatric Nurse Practitioner 363LP0200X RN2271151 MA

Addresses

Primary practice location

55 Hospital Dr
Winchendon, MA 01475-1820

Mailing address

55 Hospital Dr
Winchendon, MA 01475-1820
Phone (978) 297-2311

Other names 1

  • Carol Wolcott Former name

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
I20141126001253 MA Practitioner - Nurse Practitioner 3173845260 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
LGH Medical Group, Inc.Group PAC ID 3173626751, 165 clinicians

Practice addresses (Care Compare)

198 Littleton Rd
Suite 102
Westford, MA 01886-3429
Phone (978) 323-0312

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LGH Medical Group, Inc. CurrentSince Apr 10, 2020 Accepting new patients
Henry Heywood Memorial Hospital Family CurrentSince Jul 1, 2014 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Jul 1, 2014 Accepting new patients
LGH Professional Services LLC Past Accepting new patients

Locations

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

198 Littleton Rd
Ste 102
Westford, MA 01886
Phone (978) 323-0312

55 Hospital Dr
Winchendon, MA 01475
Phone (978) 297-2311

Interoperability endpoints

  • Direct secure messaging: creich27060@tuftsmedicine.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1366854481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HOSPITAL DR",
            "city": "WINCHENDON",
            "state": "MA",
            "postal_code": "014751820",
            "telephone_number": "978-297-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HOSPITAL DR",
            "city": "WINCHENDON",
            "state": "MA",
            "postal_code": "014751820",
            "telephone_number": "978-297-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICH",
        "first_name": "CAROL",
        "credential": "FNP-BC, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2271151",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN2271151",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "WOLCOTT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winchendon, MA

Sources for this page

Verify at the official NPI Registry.