Individual provider Active NPI

Constance Mary Flynn, ANP

  • Community Health Nurse Practitioner
  • Pittsfield, MA
National Provider Identifier
1508120445
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
License
131866 Issued in MA
Practice address
165 Tor CT
Pittsfield, MA 01201-3001
Phone
(413) 447-2862
Fax
(413) 447-2869
NPI assigned
Jun 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X 131866 MA Primary

Addresses

Primary practice location

165 Tor CT
Pittsfield, MA 01201-3001

Mailing address

725 North Street
Pittsfield, MA 01201
Phone (413) 395-7655

Other identifiers 1

IdentifierTypeStateIssuer
002905201OtherMAMEDICARE B

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121031000320 MA Practitioner - Nurse Practitioner 7618127507 Reassigns benefits to 2 organizations
I20250522001335 MI Practitioner - Nurse Practitioner 7618127507 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
131866MAMDCommunity Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Adams Regional Hospital Corporation CurrentSince Aug 29, 2025 Accepting new patients
North Adams Regional Hospital Corporation CurrentSince Aug 29, 2025 Accepting new patients
North Adams Regional Hospital Corporation CurrentSince Oct 28, 2025 Accepting new patients
Fairview Hospital Past Accepting new patients

Locations

71 Hospital Ave
North Adams, MA 01247
Phone (413) 664-4343

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1508120445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 NORTH STREET",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "01201",
            "telephone_number": "413-395-7655",
            "fax_number": "413-447-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 TOR CT",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012013001",
            "telephone_number": "413-447-2862",
            "fax_number": "413-447-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "CONSTANCE",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "MA",
            "license": "131866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B",
            "identifier": "002905201",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.