Individual provider Active NPI

Karen Gauvin, RN

  • Family Nurse Practitioner
  • Mashpee, MA
National Provider Identifier
1619492923
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2304235 Issued in MA
Practice address
1 Birch Way
Mashpee, MA 02649-2036
Phone
(617) 775-7497
NPI assigned
Aug 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2304235 MA Primary
Registered Nurse 163W00000X RN2304235 MA

Addresses

Primary practice location

1 Birch Way
Mashpee, MA 02649-2036

Mailing address

1 Birch Way
Mashpee, MA 02649-2036
Phone (617) 775-7497

Other practice location 1

710 Main St
Harwich Port, MA 02646-1931
Phone (508) 905-2800 ext. 2215

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
I20200414002341 MA Practitioner - Nurse Practitioner 8527498609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hyannis Family Medical Care PCGroup PAC ID 2264566678, 4 clinicians

Practice addresses (Care Compare)

5 Industrial Dr
Suite 100
Mashpee, MA 02649-3465
Phone (508) 477-4282

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2304235MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hyannis Family Medical Care P.C. CurrentSince Mar 1, 2025 Accepting new patients

Locations

5 Industrial Dr
Ste 100
Mashpee, MA 02649
Phone (508) 477-4282

Organizations & group practices 1

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 3

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": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1619492923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BIRCH WAY",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026492036",
            "telephone_number": "617-775-7497",
            "fax_number": "508-539-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BIRCH WAY",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026492036",
            "telephone_number": "617-775-7497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Main St",
            "address_purpose": "LOCATION",
            "city": "Harwich Port",
            "state": "MA",
            "postal_code": "026461931",
            "country_code": "US",
            "telephone_number": "508-905-2800 x2215",
            "fax_number": "774-209-3228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAUVIN",
        "first_name": "KAREN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2024-04-04",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2304235",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2304235",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mashpee, MA

Sources for this page

Verify at the official NPI Registry.