Organization Active NPI

Mountain View Family Practice, PC

  • Family Medicine Physician
  • Baldwinville, MA
National Provider Identifier
1639409428
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MOUNTAIN VIEW FAMILY PRACTICE, PC
Practice address
570 Baldwinville Rd
Baldwinville, MA 01436-1351
Phone
(978) 939-2133
Fax
(978) 939-8580
NPI assigned
Dec 30, 2009
Last updated
Feb 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Authorized official

Name
Gretchen L Kelley, M.D.NPI 1376539346
Title
President
Phone
(978) 939-2133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

570 Baldwinville Rd
Baldwinville, MA 01436-1351

Mailing address

570 Baldwinville Rd
Baldwinville, MA 01436-1351
Phone (978) 939-2133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100525000209 MA Part B Supplier - Clinic/Group Practice 5092844340 Receives reassigned benefits from 7 practitioners
Practice locations: Baldwinville, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0951455Mountain View Family Practice, PC570 Baldwinville Road, Baldwinville, MA 01436Certificate of waiverSep 17, 2026

National Provider Directory

National Provider Directory

Locations

570 Baldwinville Rd
#100
Baldwinville, MA 01436

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24634/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1639409428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 BALDWINVILLE RD",
            "city": "BALDWINVILLE",
            "state": "MA",
            "postal_code": "014361351",
            "telephone_number": "978-939-2133",
            "fax_number": "978-939-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 BALDWINVILLE RD",
            "city": "BALDWINVILLE",
            "state": "MA",
            "postal_code": "014361351",
            "telephone_number": "978-939-2133",
            "fax_number": "978-939-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW FAMILY PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-939-2133",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwinville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.