Individual provider Active NPI

Margaret A Mastrangelo, FNP

  • Family Nurse Practitioner
  • Chicopee, MA
National Provider Identifier
1568462448
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
205310 Issued in MA
Practice address
262 New Ludlow Rd
Chicopee Medical Center
Chicopee, MA 01020-4324
Phone
(413) 552-3250
Fax
(413) 552-3255
NPI assigned
Jul 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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 205310 MA Primary

Addresses

Primary practice location

262 New Ludlow Rd
Chicopee Medical Center
Chicopee, MA 01020-4324

Mailing address

260 New Ludlow Rd
Western Mass Physician Associates, Inc.
Chicopee, MA 01020-4324
Phone (413) 533-3470

Other identifiers 8

IdentifierTypeStateIssuer
0344079MedicaidMA
205310OtherMACONNECTICARE OF MA
NP2188OtherMABLUE CROSS/BLUE SHIELD
043202198007OtherTRICARE
NP2188OtherHMO BLUE
043202198OtherCBA
0344079OtherMAMEDICAID - PCC
043202198OtherBEECH STREET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
205310MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Holyoke Medical Center, Inc. Past Accepting new patients
Baystate Affiliated Practice Organization Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1568462448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 NEW LUDLOW RD",
            "address_2": "WESTERN MASS PHYSICIAN ASSOCIATES, INC.",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010204324",
            "telephone_number": "413-533-3470",
            "fax_number": "413-533-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 NEW LUDLOW RD",
            "address_2": "CHICOPEE MEDICAL CENTER",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010204324",
            "telephone_number": "413-552-3250",
            "fax_number": "413-552-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTRANGELO",
        "first_name": "MARGARET",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "205310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0344079",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE OF MA",
            "identifier": "205310",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "NP2188",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "043202198007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO BLUE",
            "identifier": "NP2188",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBA",
            "identifier": "043202198",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - PCC",
            "identifier": "0344079",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH STREET",
            "identifier": "043202198",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicopee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.