Individual provider Active NPI

Ann T Hummel, NP

  • Nurse Practitioner
  • Lee, MA
National Provider Identifier
1710057229
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
268454 Issued in MA
Practice address
CHP - Lee Family Practice
11 Quarry Hill Road
Lee, MA 01238
Phone
(413) 243-0536
Fax
(413) 243-8040
NPI assigned
Nov 9, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 268454 MA Primary

Addresses

Primary practice location

CHP - Lee Family Practice
11 Quarry Hill Road
Lee, MA 01238

Mailing address

P.O. Box 30
Great Barrington, MA 01230
Phone (413) 528-9311

Other identifiers 1

IdentifierTypeStateIssuer
110093563AMedicaidMA

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
I20061202000157 MA Practitioner - Nurse Practitioner 0749289635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Programs IncGroup PAC ID 5799746608, 45 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

11 Quarry Hill Rd
Lee, MA 01238-9645
Phone (413) 243-0536

2600 Compass Rd
Glenview, IL 60026-8001

510 N St
Pittsfield, MA 01201-5493
Phone (413) 447-2351

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
268454MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Programs, Inc. CurrentSince Apr 7, 2013 Accepting new patients
Community Health Programs, Inc. CurrentSince Apr 7, 2013 Accepting new patients

Locations

11 Quarry Hill Rd
Lee, MA 01238
Phone (413) 243-0536

Interoperability endpoints

  • Direct secure messaging: ann.hummel.1@3792.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1710057229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 30",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "01230",
            "telephone_number": "413-528-9311",
            "fax_number": "413-644-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHP - LEE FAMILY PRACTICE",
            "address_2": "11 QUARRY HILL ROAD",
            "city": "LEE",
            "state": "MA",
            "postal_code": "01238",
            "telephone_number": "413-243-0536",
            "fax_number": "413-243-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMMEL",
        "first_name": "ANN",
        "middle_name": "T",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "268454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110093563A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee, MA

Sources for this page

Verify at the official NPI Registry.