Individual provider Active NPI

Allison Christine Devine, PA-C, ATC

  • Physician Assistant
  • North Chelmsford, MA
National Provider Identifier
1699117697
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA6086 Issued in MA
Practice address
14 Research PL
North Chelmsford, MA 01863-2412
Phone
(978) 454-0706
Fax
(978) 970-0454
NPI assigned
Jul 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 PA6086 MA Primary

Addresses

Primary practice location

14 Research PL
North Chelmsford, MA 01863-2412

Mailing address

14 Research PL
North Chelmsford, MA 01863-2412

Other practice location 1

17 Prospect St
N203
Nashua, NH 03060-3956
Phone (603) 577-2663 ext. 6384

Other names 1

  • Allison Christine Moen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170710000527 MA Practitioner - Physician Assistant 6002185998 Reassigns benefits to 1 organization
I20200612002318 NH Practitioner - Physician Assistant 6002185998 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA6086MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Surgical Associates of Lowell, P.C. CurrentSince May 17, 2017 Accepting new patients
Orthopaedic Surgical Associates of Lowell, P.C. CurrentSince May 5, 2020 Accepting new patients

Locations

14 Research Pl
North Chelmsford, MA 01863
Phone (978) 256-6607

1 Orthopedics Dr
Peabody, MA 01960
Phone (781) 595-4562

23 Keewaydin Dr
Salem, NH 03079
Phone (603) 386-0272

Interoperability endpoints

  • Direct secure messaging: allison.moen.1@1154.direct.athenahealth.com
  • Direct secure messaging: adevine47088@tuftsmedicine.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Surgical Associates of Lowell, P.C. 43 clinicians

Practice addresses (Care Compare)

14 Research PL
North Chelmsford, MA 01863-2460
Phone (978) 454-0706

Hospital & facility affiliations

  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063

NPI Registry JSON

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1699117697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RESEARCH PL",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018632412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RESEARCH PL",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018632412",
            "telephone_number": "978-454-0706",
            "fax_number": "978-970-0454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Prospect St",
            "address_2": "N203",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030603956",
            "country_code": "US",
            "telephone_number": "603-577-2663 x6384",
            "fax_number": "603-577-3366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "ALLISON",
        "middle_name": "CHRISTINE",
        "credential": "PA-C, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA6086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "MOEN",
            "middle_name": "CHRISTINE",
            "credential": "PA-C, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.