Individual provider Active NPI

Allison Carlson, DNP

  • Gerontology Nurse Practitioner
  • Gardner, MA
National Provider Identifier
1407641335
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
RN2267308 Issued in MA
Practice address
250 Green St
Gardner, MA 01440-1396
Phone
(978) 630-5045
NPI assigned
Apr 11, 2025
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN2267308 MA
Gerontology Nurse Practitioner 363LG0600X RN2267308 MA Primary

Addresses

Primary practice location

250 Green St
Gardner, MA 01440-1396

Mailing address

242 Green St
Gardner, MA 01440-1373

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
I20251031002308 MA Practitioner - Nurse Practitioner 2062901739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1111 B S Governors Ave
Suite 3887
Dover, DE 19904-6903

PO Box
Suite 833
Monroe, VA 24574

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2267308MAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novella Medicine Services of Massachusetts, PLLC CurrentSince Oct 1, 2025 Accepting new patients
Novella Medicine Services of Massachusetts, PLLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

48 Dunham Rd
Ste 4150
Beverly, MA 01915

575 Mount Auburn St
Ste B102
Cambridge, MA 02138
Phone (617) 240-6713

50 Redfield St
Ste 208
Dorchester, MA 02122

95 Tremont St
Ste 3
Duxbury, MA 02332

1575 N Main St
Fall River, MA 02720
Phone (508) 324-0328

62 Brown St
Ste 501
Haverhill, MA 01830
Phone (978) 372-3201

22 South St
Ste 201
Hopkinton, MA 01748

198 Charlton Rd
Ste 206
Sturbridge, MA 01566
Phone (508) 765-1600

91 Washington St
Unit 202
Taunton, MA 02780
Phone (508) 386-9888

210 Bear Hill Rd
Ste 204
Waltham, MA 02451
Phone (518) 321-4537

1275 Elm St
Ste D
West Springfield, MA 01089
Phone (860) 334-4835

349 Route 28
Ste B
West Yarmouth, MA 02673

506 Groton Rd
Ste B
Westford, MA 01886

1221 Main St
Ste 404
Weymouth, MA 02190

23 Warren Ave
#145
Woburn, MA 01801

416 Belmont St
Ste 202
Worcester, MA 01604

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1407641335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 GREEN ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014401373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 GREEN ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014401396",
            "telephone_number": "978-630-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "ALLISON",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MA",
            "license": "RN2267308",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "RN2267308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, MA

Sources for this page

Verify at the official NPI Registry.