Active NPI
Colin McWilliams
- Gerontology Nurse Practitioner
- Duxbury, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AG07220180
- Practice address
- 251 Tremont St
Duxbury, MA 02332-4828 - Phone
- (781) 249-5960
- NPI assigned
- Aug 23, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | AG07220180 | MA | Primary |
Addresses
Primary practice location
251 Tremont St
Duxbury, MA 02332-4828
Mailing address
251 Tremont St
Duxbury, MA 02332-4828
Phone (781) 249-5960
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Cmcwill@yahoo.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
81 Samoset St
Suite 3
Plymouth, MA 02360-4500
Phone (508) 830-0012
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG07220180 | MA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Insight Inc | Multi-Specialty | Current | Accepting new patients |
| Plymouth County Behavioral Health LLC | Multi-Specialty | Current | Accepting new patients |
| Mindful Mental Health LLC | Current | Accepting new patients |
Locations
105 Webster St
Ste 8
Hanover, MA 02339
Phone (781) 312-7457
81 Samoset St
Ste 3
Plymouth, MA 02360
Phone (508) 830-0012
81 Samoset St
Plymouth, MA 02360
Phone (508) 747-0587
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Plymouth, MA
- NPI 1154457422
Multi-Specialty
-
- Adult Health Nurse Practitioner
- Duxbury, MA
- NPI 1740027390
-
- Psychiatric/Mental Health Nurse Practitioner
- Hanover, MA
- NPI 1235711839
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661212800000",
"number": "1396464319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 TREMONT ST",
"city": "DUXBURY",
"state": "MA",
"postal_code": "023324828",
"telephone_number": "781-249-5960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 TREMONT ST",
"city": "DUXBURY",
"state": "MA",
"postal_code": "023324828",
"telephone_number": "781-249-5960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCWILLIAMS",
"first_name": "COLIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-23",
"last_updated": "2022-08-23",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": "MA",
"license": "AG07220180",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Cmcwill@yahoo.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "251 Tremont St",
"city": "Duxbury",
"state": "MA",
"country_code": "US",
"postal_code": "023324828",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Duxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.