Individual provider Active NPI

Erin Anne Hennigan, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Attleboro, MA
National Provider Identifier
1790307825
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN2293618 Issued in MA
Practice address
54 Payson St
Attleboro, MA 02703-1612
Phone
(781) 223-6297
NPI assigned
May 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LA2100X RN2293618 MA Primary

Addresses

Primary practice location

54 Payson St
Attleboro, MA 02703-1612

Mailing address

54 Payson St
Attleboro, MA 02703-1612
Phone (781) 223-6297

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
I20210311001018 MA Practitioner - Nurse Practitioner 1456767748 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woonsocket Urgent Care PCGroup PAC ID 1951305168, shared by 2 NPIs, 23 clinicians

Practice addresses (Care Compare)

103 Providence Hwy
East Walpole, MA 02032-1512
Phone (781) 255-0500

2 -4 Mercer Rd
Natick, MA 01760-2452
Phone (508) 318-4466

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2293618MAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Woonsocket Urgent Care, PC Single Specialty Current Accepting new patients
Woonsocket Urgent Care, PC Single Specialty CurrentSince Sep 5, 2023 Accepting new patients
Woonsocket Urgent Care PC Single Specialty CurrentSince Sep 5, 2023 Accepting new patients

Locations

1 Wrentham St
Bellingham, MA 02019
Phone (508) 318-4466

103 Providence Hwy
East Walpole, MA 02032
Phone (781) 255-0500

2-4 Mercer Rd
Natick, MA 01760
Phone (508) 318-4466

40 Cumberland Ave
North Attleboro, MA 02760
Phone (508) 399-8800

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.

NPI Registry JSON

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1790307825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 PAYSON ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027031612",
            "telephone_number": "781-223-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 PAYSON ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027031612",
            "telephone_number": "781-223-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNIGAN",
        "first_name": "ERIN",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MA",
            "license": "RN2293618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Attleboro, MA

Sources for this page

Verify at the official NPI Registry.