Individual provider Active NPI

Caitlin Lynch, FNP-BC, MSN, RN

  • Family Nurse Practitioner
  • Randolph, MA
National Provider Identifier
1447867601
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2261669 Issued in MA
Practice address
1093 N Main St
Randolph, MA 02368-2100
Phone
(781) 963-0676
Fax
(781) 986-0208
NPI assigned
Sep 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2261669 MA Primary

Addresses

Primary practice location

1093 N Main St
Randolph, MA 02368-2100

Mailing address

1093 N Main St
Randolph, MA 02368-2100
Phone (781) 963-0676

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
I20210115000560 MA Practitioner - Nurse Practitioner 2264845007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Physicians Associates IncGroup PAC ID 7315931482, 31 clinicians

Practice addresses (Care Compare)

1093 N Main St
Randolph, MA 02368-2100
Phone (781) 963-0676

Hospital & facility affiliations

  • Beth Israel Deaconess Hospital - Milton Hospital, Milton, MA, CCN 220108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN2261669MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians Associates, Inc. CurrentSince Nov 2, 2020 Accepting new patients
Community Physicians Associates, Inc. CurrentSince Nov 2, 2020 Accepting new patients

Locations

1093 N Main St
Randolph, MA 02368
Phone (781) 963-0676

Interoperability endpoints

  • Direct secure messaging: clynch452411@direct.bilh.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 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": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1447867601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1093 N MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023682100",
            "telephone_number": "781-963-0676",
            "fax_number": "781-986-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1093 N MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023682100",
            "telephone_number": "781-963-0676",
            "fax_number": "781-986-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "CAITLIN",
        "credential": "FNP-BC, MSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2261669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

Verify at the official NPI Registry.