Individual provider Active NPI

Nicole Hartnett, FNP

  • Family Nurse Practitioner
  • Clinton, MA
National Provider Identifier
1770196560
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2301432 Issued in MA
Practice address
792 Main St
Clinton, MA 01510-1608
Phone
(978) 368-7631
NPI assigned
Aug 31, 2020
Last updated
Oct 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2301432 MA
Family Nurse Practitioner 363LF0000X RN2301432 MA Primary

Addresses

Primary practice location

792 Main St
Clinton, MA 01510-1608

Mailing address

792 Main St
Clinton, MA 01510-1608

Other practice location 1

87 N Main St
Leominster, MA 01453-5507
Phone (978) 534-8701

Other identifiers 2

IdentifierTypeStateIssuer
RN2301432OtherMACERTIFIED NURSE PRACTITIONER
MCS003152BOtherMAMCSR

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
I20201223002238 MA Practitioner - Nurse Practitioner 2365854916 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

151 Worcester Rd
Barre, MA 01005-9002
Phone (978) 355-6321

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2301432MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Centers of Central Massachusetts, LLC CurrentSince Jul 17, 2023 Accepting new patients
NPI 1417488206 CurrentSince Jul 17, 2023 Accepting new patients
NPI 1497286280 Current Accepting new patients
Carewell Urgent Care Centers of Ma, PC CurrentSince Jul 17, 2023 Accepting new patients
Carewell Urgent Care Centers of Ma, P.C Current Accepting new patients
Umass Memorial Medical Group Inc Current Accepting new patients
Family Medical & Maternity Care PC CurrentSince Feb 19, 2022 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Nov 27, 2023 Accepting new patients

Locations

151 Worcester Rd
Barre, MA 01005
Phone (978) 355-6321

510 Boston Rd
Billerica, MA 01821
Phone (978) 362-2443

380 John Fitch Hwy
Fitchburg, MA 01420
Phone (617) 302-4194

87 N Main St
Leominster, MA 01453
Phone (800) 688-6663

757 Boston Post Rd E
Marlborough, MA 01752
Phone (508) 630-8989

333 SW Cutoff
Northborough, MA 01532
Phone (774) 570-5000

229 Andover St
Peabody, MA 01960
Phone (978) 532-2453

484 Route 134
South Dennis, MA 02660
Phone (508) 694-7901

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HAJFCA

Organizations & group practices 6

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 4

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": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1770196560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 MAIN ST",
            "city": "CLINTON",
            "state": "MA",
            "postal_code": "015101608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 MAIN ST",
            "city": "CLINTON",
            "state": "MA",
            "postal_code": "015101608",
            "telephone_number": "978-368-7631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "87 N Main St",
            "address_purpose": "LOCATION",
            "city": "Leominster",
            "state": "MA",
            "postal_code": "014535507",
            "country_code": "US",
            "telephone_number": "978-534-8701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTNETT",
        "first_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2301432",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2301432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED NURSE PRACTITIONER",
            "identifier": "RN2301432",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCSR",
            "identifier": "MCS003152B",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MA

Sources for this page

Verify at the official NPI Registry.