Individual provider Active NPI

Colleen A Gaffney, APRN-BC

  • Family Nurse Practitioner
  • Chestnut Hill, MA
National Provider Identifier
1649780438
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
266241 Issued in MA
Practice address
1244 Boylston St Ste 103
Chestnut Hill, MA 02467-2115
Phone
(617) 731-1600
NPI assigned
Oct 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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 266241 MA Primary

Addresses

Primary practice location

1244 Boylston St Ste 103
Chestnut Hill, MA 02467-2115

Mailing address

1244 Boylston St Ste 103
Chestnut Hill, MA 02467-2115
Phone (617) 731-1600

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
I20180517000827 MA Practitioner - Nurse Practitioner 6406111616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skincare Physicians IncGroup PAC ID 6800791450, 17 clinicians

Practice addresses (Care Compare)

1244 Boylston St
Suite 103
Chestnut Hill, MA 02467-2115
Phone (617) 848-1611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
266241MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Skincare Physicians Inc CurrentSince Apr 1, 2018 Accepting new patients
Skincarephysicians Past Accepting new patients
Skincare Physicians St Elizabeths Inc PastSince Apr 1, 2018 Accepting new patients

Locations

1244 Boylston St
Ste 103
Chestnut Hill, MA 02467
Phone (617) 731-1600

1244 Boylston St
Ste 302
Chestnut Hill, MA 02467
Phone (617) 731-1600

Interoperability endpoints

  • Direct secure messaging: cgaffney@scp.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1649780438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 BOYLSTON ST STE 103",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672115",
            "telephone_number": "617-731-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 BOYLSTON ST STE 103",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672115",
            "telephone_number": "617-731-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAFFNEY",
        "first_name": "COLLEEN",
        "middle_name": "A",
        "credential": "APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "266241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Hill, MA

Sources for this page

Verify at the official NPI Registry.