Eliot E Nottleson, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1338 Issued in MA

Practice address

55 Hospital Dr
Winchendon, MA 01475-1820

Phone

(978) 297-2311

Fax

(978) 297-4173

NPI assigned

May 3, 2006

Last updated

Jan 20, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Duke University School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athol Memorial Hospital IncorporatedGroup PAC ID 7911959846, 81 clinicians

Heywood Medical Group Inc.Group PAC ID 6901882836, 111 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Care Central Vna & Hospice Inc Home health agency, Gardner, MA, CCN 227003
• Caretenders Home health agency, Needham Heights, MA, CCN 227269
• Heywood Hospital - Hospital, Gardner, MA, CCN 220095
• Athol Memorial Hospital Hospital, Athol, MA, CCN 221303

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as apm

Quality

82.98

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eliot.nottleson.1@192.direct.athenahealth.com

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.

• Athol Memorial Hospital Incorporated

  • Critical Access Hospital
  • Athol, MA
  • NPI 1336120047

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Heywood Medical Group Inc.

  • General Practice Physician
  • Gardner, MA
  • NPI 1699762286
  Medicare reassignment Care Compare group
• Henry Heywood Memorial Hospital

  dba Heywood Hospital

  • General Acute Care Hospital
  • Gardner, MA
  • NPI 1205823879

  Physician Assistant

  Medicare reassignment NPD
• Henry Heywood Memorial Hospital

  dba Heywood Hospital

  • Psychiatric Hospital Unit
  • Gardner, MA
  • NPI 1457685299
  NPD

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

• Athol Memorial Hospital Incorporated

  • Critical Access Hospital
  • Athol, MA
  • NPI 1336120047
  Care Compare affiliation
• Care Central Vna & Hospice Inc

  • Home Health Agency
  • Gardner, MA
  • NPI 1477526705
  Care Compare affiliation
• Caretenders VS of Boston, LLC

  dba Caretenders

  • Home Health Agency
  • Needham Heights, MA
  • NPI 1396929048
  Care Compare affiliation
• Henry Heywood Memorial Hospital

  dba Heywood Hospital

  • General Acute Care Hospital
  • Gardner, MA
  • NPI 1205823879
  Care Compare affiliation
• Heywood Medical Group Inc.

  • General Practice Physician
  • Gardner, MA
  • NPI 1699762286

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1386602548",
    "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",
            "fax_number": "978-297-4173"
        },
        {
            "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",
            "fax_number": "978-297-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTTLESON",
        "first_name": "ELIOT",
        "middle_name": "E",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "1338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Lauren Lambert, RN, BSN
• Erin Leigh Mader
• William Joseph Mateik, O.D.
• Monica Mbugua
• Neuropsych and Public Safety Testing Servicesb
• Carol Reich, FNP-BC, CPNP
• Michelle Lee Rose, RN
• Safe Haven Counseling and Consultation Services LLC
• Jennifer Sanborn
• Kelci Schulz

• Physician Assistant in Winchendon, MA
• Providers in Winchendon, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.