Individual provider Active NPI

Madeleine Therese Maguire, NP

  • Family Nurse Practitioner
  • Springfield, MA
National Provider Identifier
1760896674
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2281814 Issued in MA
Practice address
3455 Main St Ste 5
Springfield, MA 01107-1142
Phone
(413) 733-9600
Fax
(413) 732-6534
NPI assigned
Jun 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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 RN2281814 MA Primary

Addresses

Primary practice location

3455 Main St Ste 5
Springfield, MA 01107-1142

Mailing address

3455 Main St Ste 5
Springfield, MA 01107-1142
Phone (413) 733-9600

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
I20141119001754 MA Practitioner - Nurse Practitioner 8123240587 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New England Dermatology PCGroup PAC ID 9436113677, 21 clinicians

Practice addresses (Care Compare)

3455 Main St
Suite 5
Springfield, MA 01107-1147
Phone (413) 733-9600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2281814MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New England Dermatology, P.C. CurrentSince Oct 1, 2020 Accepting new patients
Lahey Clinic, Inc CurrentSince Sep 1, 2019 Accepting new patients

Locations

67 S Bedford St
Burlington, MA 01803
Phone (781) 744-5115

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

21 Dwight Rd
Ste 202
Longmeadow, MA 01106
Phone (413) 565-5020

8 Atwood Dr
Ste 304
Northampton, MA 01060
Phone (413) 586-5798

8 Atwood Dr
Ste 201
Northampton, MA 01060
Phone (413) 528-0471

3455 Main St
Ste 5
Springfield, MA 01107
Phone (413) 733-9600

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1760896674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 MAIN ST STE 5",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071142",
            "telephone_number": "413-733-9600",
            "fax_number": "413-732-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 MAIN ST STE 5",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071142",
            "telephone_number": "413-733-9600",
            "fax_number": "413-732-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGUIRE",
        "first_name": "MADELEINE",
        "middle_name": "THERESE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2281814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.