Individual provider Active NPI

Caitlin M Hartman, PA-C

  • Physician Assistant
  • Lexington, MA
National Provider Identifier
1689232605
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
58 Bedford St
Lexington, MA 02420-4334
Phone
(781) 538-4526
NPI assigned
Jun 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

58 Bedford St
Lexington, MA 02420-4334

Mailing address

58 Bedford St
Lexington, MA 02420-4334
Phone (781) 538-4526

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
I20201229002717 MA Practitioner - Physician Assistant 1456764935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Operations PCGroup PAC ID 6406141217, 39 clinicians
Circle Health Urgent Care LLCGroup PAC ID 4486976792, 39 clinicians

Practice addresses (Care Compare)

129 Turnpike St
North Andover, MA 01845-5032
Phone (978) 470-0800

1574 Main St
Tewksbury, MA 01876-2067
Phone (978) 323-5945

198 Littleton Rd
Suite 101
Westford, MA 01886-3429
Phone (978) 323-0302

199 Boston Rd
North Billerica, MA 01862-2328
Phone (978) 323-2850

296 Main St
Haverhill, MA 01830-5045
Phone (917) 767-1104

50 Dodge St
Suite 104
Beverly, MA 01915-1711

50 Dodge St
Suite 104
Beverly, MA 01915-1765
Phone (978) 922-2171

9 Loon Hill Rd
Dracut, MA 01826-4365
Phone (978) 323-5900

Hospital & facility affiliations

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: chartman135140@tuftsmedicine.direct-ci.com

Organizations & group practices 2

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 1

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": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1689232605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 BEDFORD ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204334",
            "telephone_number": "781-538-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 BEDFORD ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204334",
            "telephone_number": "781-538-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "CAITLIN",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

Verify at the official NPI Registry.