Individual provider Active NPI

Jennifer D. Mygatt, N.P.-C

  • Nurse Practitioner
  • Williamstown, MA
National Provider Identifier
1811277668
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2265698 Issued in MA
Practice address
197 Adams Rd
Williamstown, MA 01267
Phone
(413) 458-8182
Fax
(413) 458-3140
NPI assigned
Aug 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 93442 CT
General Practice Registered Nurse 163WG0000X RN2265698 MA
Nurse Practitioner 363L00000X 2265698 MA Primary

Addresses

Primary practice location

197 Adams Rd
Williamstown, MA 01267

Mailing address

197 Adams Rd
Williamstown, MA 01267-2930
Phone (413) 458-8182

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
I20120105000573 MA Practitioner - Nurse Practitioner 1456527886 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview HospitalGroup PAC ID 1254240773, 56 clinicians

Practice addresses (Care Compare)

197 Adams Rd
Williamstown, MA 01267-2930
Phone (413) 458-3140

71 Hospital Ave
North Adams, MA 01247-2504
Phone (413) 664-5710

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Pittsfield, MA, CCN 227219
  • Berkshire Visiting Nurse Association Home health agency, Pittsfield, MA, CCN 227122
  • Amedisys Home Health Care Home health agency, Agawam, MA, CCN 227288
  • Berkshire Medical Center Hospital, Pittsfield, MA, CCN 220046
  • North Adams Regional Hospital Corporation Hospital, North Adams, MA, CCN 221304
  • Fairview Hospital Hospital, Great Barrington, MA, CCN 221302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
93442CTMDGeneral Practice Registered Nurse
RN2265698MAMDGeneral Practice Registered Nurse
2265698MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Hospital CurrentSince Oct 1, 2016 Accepting new patients
Fairview Hospital CurrentSince Feb 1, 2020 Accepting new patients
Fairview Hospital Current Accepting new patients
Fairview Hospital CurrentSince Feb 1, 2020 Accepting new patients
Berkshire Faculty Services Inc CurrentSince Oct 1, 2016 Accepting new patients

Locations

29 Lewis Ave
Gt Barrington, MA 01230
Phone (413) 528-0790

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

77 Hospital Ave
Ste 300
North Adams, MA 01247
Phone (413) 664-5959

71 Hospital Ave
Fl 3
North Adams, MA 01247
Phone (413) 664-4088

197 Adams Rd
Williamstown, MA 01267
Phone (413) 458-8182

Interoperability endpoints

  • Direct secure messaging: jennifermygatt@fvh.medalliesdirect.net

Organizations & group practices 5

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 6

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": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1811277668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 ADAMS RD",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "012672930",
            "telephone_number": "413-458-8182",
            "fax_number": "413-458-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 ADAMS RD",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "01267",
            "telephone_number": "413-458-8182",
            "fax_number": "413-458-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYGATT",
        "first_name": "JENNIFER",
        "middle_name": "D.",
        "credential": "N.P.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CT",
            "license": "93442",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MA",
            "license": "RN2265698",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "2265698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, MA

Sources for this page

Verify at the official NPI Registry.