Charlotte Marie Holleran, RN

Primary specialty

Surgical Critical Care PhysicianTaxonomy code 2086S0102X

License

RN277786 Issued in MA

Practice address

611 Fellsway W
Medford, MA 02155-1849

Phone

(781) 498-8221

NPI assigned

Mar 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Middleton Family Medicine Urgent Care LLCGroup PAC ID 0042533218, 74 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care, Inc Home health agency, Wilmington, MA, CCN 227576
• Enhabit Home Health Home health agency, Andover, MA, CCN 227500
• Care Dimensions, Inc Hospice, Danvers, MA, CCN 221522
• Northeast Hospital Corporation Hospital, Beverly, MA, CCN 220033

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charlotte.holleran.2@9808.direct.athenahealth.com

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.

• Middleton Family Medicine Urgent Care, LLC

  • Clinic/Center
  • Middleton, MA
  • NPI 1902215106
  Medicare reassignment Care Compare group NPD
• Brigham & Womens Physicians Organization Inc

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1033535497
  Medicare reassignment NPD
• New England House Calls LLC

  • Home Health Agency
  • Middleton, MA
  • NPI 1659066686
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Care Dimensions, Inc.

  • Community Based Hospice Care Agency
  • Danvers, MA
  • NPI 1447344130
  Care Compare affiliation Name & address match
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Foxboro, MA
  • NPI 1013358118
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Wilmington, MA
  • NPI 1285673194
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Canton, MA
  • NPI 1972896900
  Care Compare affiliation
• Excella Homecare, Inc.

  • Home Health Agency
  • Wilmington, MA
  • NPI 1649351354
  Care Compare affiliation
• Northeast Hospital Corporation

  • General Acute Care Hospital
  • Beverly, MA
  • NPI 1316917941
  Care Compare affiliation
• Northeast Hospital Corporation

  • Psychiatric Hospital Unit
  • Beverly, MA
  • NPI 1407827710
  Care Compare affiliation

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1821683780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 FELLSWAY W",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021551849",
            "telephone_number": "781-498-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 FELLSWAY W",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021551849",
            "telephone_number": "781-498-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLERAN",
        "first_name": "CHARLOTTE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MA",
            "license": "RN277786",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MA",
            "license": "RN277786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorna Mary Hochstein, PH.D.
• Barbara Hodapp, MSW
• Alanah Tull Hodges, LCSW
• Peter Daniel Hogan, PTA
• Mary Jo Holland, CFNP
• Shelley L Holloway, M.ED
• Teresa Carmen Holmes, P.T.
• Cristina Holt, MD
• Katina Hooper
• Ian Hopewood, MD

• Surgical Critical Care Physician in Medford, MA
• Providers in Medford, MA by specialty
• Surgical Critical Care Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.