Individual provider Active NPI

Alexis Gorman, FNP

  • Primary Care Nurse Practitioner
  • Westfield, MA
National Provider Identifier
1396024246
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN269788 Issued in MA
Practice address
75 Springfield Rd
Suite 1
Westfield, MA 01085-1790
Phone
(413) 562-5173
Fax
(413) 562-1716
NPI assigned
Aug 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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 RN269788 MA Primary

Addresses

Primary practice location

75 Springfield Rd
Suite 1
Westfield, MA 01085-1790

Mailing address

75 Springfield Rd
Suite 1
Westfield, MA 01085-1790
Phone (413) 562-5173

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
I20121203000462 MA Practitioner - Nurse Practitioner 2668624354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

22 Atwood Dr
Suite 201
Northampton, MA 01060-4267
Phone (413) 584-2178

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Western Massachusetts Inc CurrentSince Nov 5, 2012 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Past Accepting new patients

Locations

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

22 Atwood Dr
Ste 201
Northampton, MA 01060
Phone (413) 582-4907

Interoperability endpoints

  • Direct secure messaging: gorman.alexis.cdh@direct.partners.masshiway.net

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 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": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1396024246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 SPRINGFIELD RD",
            "address_2": "SUITE 1",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010851790",
            "telephone_number": "413-562-5173",
            "fax_number": "413-562-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SPRINGFIELD RD",
            "address_2": "SUITE 1",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010851790",
            "telephone_number": "413-562-5173",
            "fax_number": "413-562-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "ALEXIS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN269788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, MA

Sources for this page

Verify at the official NPI Registry.