Individual provider Active NPI

Carol A Gagne, NP

  • Family Nurse Practitioner
  • N Chelmsford, MA
National Provider Identifier
1720189384
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
142308 Issued in MA
Practice address
10 Research PL
Suite 205
N Chelmsford, MA 01863-2456
Phone
(978) 459-8300
Fax
(978) 459-8303
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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 142308 MA Primary

Addresses

Primary practice location

10 Research PL
Suite 205
N Chelmsford, MA 01863-2456

Mailing address

10 Research PL
Suite 205
N Chelmsford, MA 01863-2456
Phone (978) 459-8300

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
I20040917000133 MA Practitioner - Nurse Practitioner 8123096252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Circle Health OBGYN, LLC.Group PAC ID 1052483476, 18 clinicians

Practice addresses (Care Compare)

20 Research PL
Suite 320
North Chelmsford, MA 01863-2455
Phone (978) 256-1858

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
142308MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Health OBGYN, LLC. CurrentSince Jan 1, 2023 Accepting new patients
LGH Womanhealth PastSince Jan 1, 2023 Accepting new patients
LGH Medical Group, Inc. Past Accepting new patients

Locations

9 Loon Hill Rd
Ste 202
Dracut, MA 01826

20 Research Pl
Ste 320
North Chelmsford, MA 01863
Phone (978) 256-1858

198 Littleton Rd
Ste 201
Westford, MA 01886

Interoperability endpoints

  • Direct secure messaging: cgagne49425@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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1720189384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 RESEARCH PL",
            "address_2": "SUITE 205",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "018632456",
            "telephone_number": "978-459-8300",
            "fax_number": "978-459-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 RESEARCH PL",
            "address_2": "SUITE 205",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "018632456",
            "telephone_number": "978-459-8300",
            "fax_number": "978-459-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNE",
        "first_name": "CAROL",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "142308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.