NPIMap

Individual provider Active NPI

Christine M. McMahon, FNP-C

  • Family Nurse Practitioner
  • Gardner, MA
National Provider Identifier
1649268277
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN251913 Issued in MA
Practice address
250 Green St
Gardner, MA 01440-1396
Phone
(978) 630-5050
Fax
(978) 630-5059
NPI assigned
Oct 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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 RN251913 MA Primary

Addresses

Primary practice location

250 Green St
Gardner, MA 01440-1396

Mailing address

250 Green St
Suite 107
Gardner, MA 01440-1396
Phone (978) 630-5030

Other identifiers 1

IdentifierTypeStateIssuer
0700274MedicaidMA

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
I20060202000573 MA Practitioner - Nurse Practitioner 4385658939 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heywood Medical Group Inc.Group PAC ID 6901882836, 111 clinicians

Practice addresses (Care Compare)

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

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

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
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Heywood Memorial Hospital Family CurrentSince May 10, 2005 Accepting new patients
Community Health Connections, Inc. CurrentSince Jan 15, 2023 Accepting new patients
Heywood Medical Group Inc. Family CurrentSince Jul 24, 2011 Accepting new patients
Community Health Connections, Inc. CurrentSince Jan 15, 2023 Accepting new patients
Athol Memorial Hospital Incorporated Family CurrentSince Aug 1, 2018 Accepting new patients
Community Health Connections, Inc. Current Accepting new patients
Henry Heywood Memorial Hospital CurrentSince May 10, 2005 Accepting new patients

Locations

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

275 Nichols Rd
Fitchburg, MA 01420
Phone (978) 343-5048

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

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

250 Green St
Ste 107
Gardner, MA 01440
Phone (978) 630-5050

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

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

165 Mill St
Leominster, MA 01453
Phone (978) 466-3208

Interoperability endpoints

  • Direct secure messaging: christine.mcmahon.1@192.direct.athenahealth.com

Organizations & group practices 7

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.

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1649268277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 GREEN ST",
            "address_2": "SUITE 107",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014401396",
            "telephone_number": "978-630-5030",
            "fax_number": "978-630-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 GREEN ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014401396",
            "telephone_number": "978-630-5050",
            "fax_number": "978-630-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "CHRISTINE",
        "middle_name": "M.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN251913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0700274",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, MA

Sources for this page

Verify at the official NPI Registry.