Individual provider Active NPI

Tracie L McPadden, RN

  • Administrator Registered Nurse
  • Tyngsboro, MA
National Provider Identifier
1770247264
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
RN2082223 Issued in MA
Practice address
39 Cummings Rd
Tyngsboro, MA 01879-1419
Phone
(978) 649-8078
NPI assigned
Oct 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X RN2082223 MA Primary

Addresses

Primary practice location

39 Cummings Rd
Tyngsboro, MA 01879-1419

Mailing address

PO Box 260
Tyngsboro, MA 01879-0260

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
I20240912002839 MA Practitioner - Nurse Practitioner 8921548264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Circle Health Urgent Care LLCGroup PAC ID 4486976792, 39 clinicians

Practice addresses (Care Compare)

9 Loon Hill Rd
Dracut, MA 01826-4365
Phone (978) 323-5900

Hospital & facility affiliations

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2082223MAMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Health Urgent Care, LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

9 Loon Hill Rd
Dracut, MA 01826
Phone (978) 323-0360

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

198 Littleton Rd
Ste 101
Westford, MA 01886
Phone (978) 323-0302

Organizations & group practices 1

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": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1770247264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260",
            "city": "TYNGSBORO",
            "state": "MA",
            "postal_code": "018790260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CUMMINGS RD",
            "city": "TYNGSBORO",
            "state": "MA",
            "postal_code": "018791419",
            "telephone_number": "978-649-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPADDEN",
        "first_name": "TRACIE",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "MA",
            "license": "RN2082223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyngsboro, MA

Sources for this page

Verify at the official NPI Registry.