NPIMap

Individual provider Active NPI

Gretchen Louise Kelley, M.D.

  • Family Medicine Physician
  • Baldwinville, MA
National Provider Identifier
1376539346
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
80406 Issued in MA
Practice address
570 Baldwinville Rd
Baldwinville, MA 01436-1351
Phone
(978) 939-2133
Fax
(978) 939-8580
NPI assigned
Sep 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 80406 MA Primary

Addresses

Primary practice location

570 Baldwinville Rd
Baldwinville, MA 01436-1351

Mailing address

570 Baldwinville Rd
Baldwinville, MA 01436-1351
Phone (978) 939-2133

Other identifiers 1

IdentifierTypeStateIssuer
3138879MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081212000356 MA Practitioner - Family Practice 3870654502 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Massachusetts Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain View Family Practice PCGroup PAC ID 5092844340, 4 clinicians

Practice addresses (Care Compare)

570 Baldwinville Rd
Baldwinville, MA 01436-1351
Phone (978) 939-2133

Hospital & facility affiliations

  • Care Central Vna & Hospice Inc Home health agency, Gardner, MA, CCN 227003
  • Caretenders Home health agency, Needham Heights, MA, CCN 227269
  • Care Central Vna & Hospice Hospice, Gardner, MA, CCN 221529
  • Heywood Hospital - Hospital, Gardner, MA, CCN 220095
  • Athol Memorial Hospital Hospital, Athol, MA, CCN 221303
  • Umass Memorial Healthalliance Hospitals Hospital, Leominster, MA, CCN 220001
  • Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Heywood Memorial Hospital CurrentSince Mar 23, 2020 Accepting new patients
Henry Heywood Memorial Hospital Family Medicine CurrentSince Mar 23, 2020 Accepting new patients
Mountain View Family Practice, PC Family Medicine CurrentSince Mar 2, 2010 Accepting new patients
Narragansett Family Practice Family Medicine Past Accepting new patients
Heywood Medical Group Inc. Family Medicine Past Accepting new patients

Locations

570 Baldwinville Rd
Baldwinville, MA 01436
Phone (508) 939-2133

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

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

Interoperability endpoints

  • Direct secure messaging: gretchen.kelley.1@24634.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24634/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 9

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1376539346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 BALDWINVILLE RD",
            "city": "BALDWINVILLE",
            "state": "MA",
            "postal_code": "014361351",
            "telephone_number": "978-939-2133",
            "fax_number": "978-939-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 BALDWINVILLE RD",
            "city": "BALDWINVILLE",
            "state": "MA",
            "postal_code": "014361351",
            "telephone_number": "978-939-2133",
            "fax_number": "978-939-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "GRETCHEN",
        "middle_name": "LOUISE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "80406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3138879",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwinville, MA

Sources for this page

Verify at the official NPI Registry.