NPIMap

Individual provider Active NPI

Sadie A Eichel, PA

  • Medical Physician Assistant
  • Gardner, MA
National Provider Identifier
1609021203
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA4340 Issued in MA
Practice address
250 Green St
Suite 202
Gardner, MA 01440-1396
Phone
(978) 630-4455
Fax
(978) 669-0046
NPI assigned
Nov 24, 2008
Last updated
Sep 8, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA4340 MA Primary

Addresses

Primary practice location

250 Green St
Suite 202
Gardner, MA 01440-1396

Mailing address

250 Green St
Suite 202
Gardner, MA 01440-1396
Phone (978) 630-4455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120423000400 MA Practitioner - Physician Assistant 2567527013 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Heywood Medical Group Inc.Group PAC ID 6901882836, 111 clinicians

Practice addresses (Care Compare)

165 Mill St
Leominster, MA 01453-3289
Phone (978) 878-8100

175 Connors St
Gardner, MA 01440-2637
Phone (978) 410-6100

2033 Main St
Athol, MA 01331-3535
Phone (978) 249-3511

250 Green St
Gardner, MA 01440-1396
Phone (978) 630-6460

266 Main St
Gardner, MA 01440-2927
Phone (978) 630-5030

529 Timpany Blvd
Gardner, MA 01440-3451
Phone (978) 878-8100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Heywood Memorial Hospital CurrentSince Apr 9, 2024 Accepting new patients
Community Health Connections, Inc. CurrentSince Jun 14, 2024 Accepting new patients
Community Health Connections, Inc. CurrentSince Jun 14, 2024 Accepting new patients
Athol Memorial Hospital Incorporated CurrentSince Aug 1, 2018 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Apr 9, 2024 Accepting new patients
Heywood Medical Group Inc CurrentSince Aug 1, 2018 Accepting new patients
Physician Management Services of Massachusetts, LLC PastSince Nov 16, 2021 Accepting new patients
Radiology Associates of the Main Line P C Past Accepting new patients

Locations

2033 Main St
Athol, MA 01331
Phone (978) 249-1295

326 Nichols Rd
Fitchburg, MA 01420
Phone (978) 343-5270

175 Connors St
Gardner, MA 01440
Phone (978) 410-6100

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

250 Green St
Gardner, MA 01440
Phone (978) 630-5050

250 Green St
Ste 202
Gardner, MA 01440
Phone (978) 630-4455

250 Green St
Ste 208
Gardner, MA 01440
Phone (978) 630-6130

529 Timpany Blvd
Gardner, MA 01440
Phone (978) 400-3031

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/192/brand/1/csg/123/fhir/r4
  • Direct secure messaging: sadie.carney.1@192.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 4

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": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1609021203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 GREEN ST",
            "address_2": "SUITE 202",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014401396",
            "telephone_number": "978-630-4455",
            "fax_number": "978-669-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 GREEN ST",
            "address_2": "SUITE 202",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014401396",
            "telephone_number": "978-630-4455",
            "fax_number": "978-669-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHEL",
        "first_name": "SADIE",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA4340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, MA

Sources for this page

Verify at the official NPI Registry.