Individual provider Active NPI

Samantha Christine Hadley, FNP-C

  • Primary Care Nurse Practitioner
  • Leominster, MA
National Provider Identifier
1366938177
Registry record updated Jul 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN276320 Issued in MA
Practice address
55 Cinema Blvd
Leominster, MA 01453-3290
Phone
(978) 401-3100
NPI assigned
Jul 4, 2018
Last updated
Jul 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN276320 MA Primary

Addresses

Primary practice location

55 Cinema Blvd
Leominster, MA 01453-3290

Mailing address

77 Clearview Ave
Fitchburg, MA 01420-3805
Phone (978) 833-4147

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
I20220725002282 MA Practitioner - Nurse Practitioner 7719368539 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heywood Medical Group Inc.Group PAC ID 6901882836, 111 clinicians

Practice addresses (Care Compare)

250 Green St
Gardner, MA 01440-1396
Phone (978) 630-6460

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Athol Memorial Hospital Incorporated CurrentSince May 1, 2022 Accepting new patients
Heywood Medical Group Inc. CurrentSince May 1, 2022 Accepting new patients
Heywood Medical Group Inc CurrentSince May 1, 2022 Accepting new patients

Locations

2033 Main St
Athol, MA 01331
Phone (978) 249-1295

250 Green St
Gardner, MA 01440
Phone (978) 630-5050

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/192/brand/1/csg/123/fhir/r4
  • Direct secure messaging: samantha.hadley.1@192.direct.athenahealth.com

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.

Hospital & facility affiliations 5

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": "1530662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530662400000",
    "number": "1366938177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CLEARVIEW AVE",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014203805",
            "telephone_number": "978-833-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CINEMA BLVD",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533290",
            "telephone_number": "978-401-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADLEY",
        "first_name": "SAMANTHA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-04",
        "last_updated": "2018-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN276320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.