Individual provider Active NPI

Anne Macadam, PA-C

  • Physician Assistant
  • Newburyport, MA
National Provider Identifier
1376970350
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA101188 Issued in MA
Practice address
1 Wallace Bashaw Way Ste 1002
Newburyport, MA 01950-3876
Phone
(978) 255-2612
NPI assigned
Oct 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1645 NH
Medical Physician Assistant 363AM0700X 016942 NY
Physician Assistant 363A00000X PA101188 MA Primary

Addresses

Primary practice location

1 Wallace Bashaw Way Ste 1002
Newburyport, MA 01950-3876

Mailing address

1 Wallace Bashaw Way Ste 1002
Newburyport, MA 01950-3876
Phone (978) 255-2612

Other names 1

  • Anne Sanford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201130001241 NH Practitioner - Physician Assistant 6204153935 Reassigns benefits to 1 organization
I20250723001340 MA Practitioner - Physician Assistant 6204153935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Family Medical Center, LLCGroup PAC ID 8729431226, 10 clinicians

Practice addresses (Care Compare)

1 Wallace Bashaw Way
Suite 1002
Newburyport, MA 01950-3876
Phone (978) 255-2612

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016942NYMDMassage Therapist

Interoperability endpoints

  • Direct secure messaging: anne.macadam.1@30018.direct.athenahealth.com

Organizations & group practices 2

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 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": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1376970350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WALLACE BASHAW WAY STE 1002",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503876",
            "telephone_number": "978-255-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WALLACE BASHAW WAY STE 1002",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503876",
            "telephone_number": "978-255-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACADAM",
        "first_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-04",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "1645",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "016942",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA101188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "SANFORD",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.