Individual provider Active NPI

Hannah Flynn, NP

  • Adult Health Nurse Practitioner
  • Tewksbury, MA
National Provider Identifier
1851896427
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2304187 Issued in MA
Practice address
18 Guile Ave
Tewksbury, MA 01876-1606
Phone
(508) 904-6897
NPI assigned
Mar 27, 2018
Last updated
Mar 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2304187 MA Primary

Addresses

Primary practice location

18 Guile Ave
Tewksbury, MA 01876-1606

Mailing address

819 Worcester St Ste 3
Springfield, MA 01151-1056
Phone (508) 904-6897

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
I20180613000289 MA Practitioner - Nurse Practitioner 8820343098 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jose R. Gutierrez MD PCGroup PAC ID 9830507763, 13 clinicians

Practice addresses (Care Compare)

Westford, MA 01886
Phone (978) 267-3900

Merit-based Incentive Payment System (MIPS)

Final score
22.46 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2304187MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Hospitalists of New England, P.C. Adult Health Current Accepting new patients
Ipc Hospitalists of New England PC CurrentSince Jun 1, 2018 Accepting new patients
Jose R. Gutierrez MD PC CurrentSince Apr 1, 2021 Accepting new patients
Ipc Hospitalists of New England, P.C. Adult Health CurrentSince Jun 1, 2018 Accepting new patients

Locations

277 Washington St
Abington, MA 02351
Phone (781) 871-0200

1 Great Rd
Acton, MA 01720
Phone (978) 263-9101

1 Great Rd
#20
Acton, MA 01720

191 Foster St
Littleton, MA 01460
Phone (978) 486-3512

67 Union St
Natick, MA 01760
Phone (508) 383-1104

80 Boston Rd
North Billerica, MA 01862
Phone (978) 667-2166

204 Proctor Ave
Revere, MA 02151
Phone (781) 286-3100

111 Huntoon Memorial Hwy
Rochdale, MA 01542
Phone (508) 892-4858

37 Route 6A
Sandwich, MA 02563
Phone (508) 888-8222

819 Worcester St
Ste 3
Springfield, MA 01151
Phone (413) 543-6820

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1851896427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 WORCESTER ST STE 3",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011511056",
            "telephone_number": "508-904-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 GUILE AVE",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018761606",
            "telephone_number": "508-904-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "HANNAH",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "2304187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tewksbury, MA

Sources for this page

Verify at the official NPI Registry.