Individual provider Active NPI

Alexandra McClellan Haggerty, N.P.

  • Adult Health Nurse Practitioner
  • Weymouth, MA
National Provider Identifier
1881136901
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN2289260 Issued in MA
Practice address
797 Main St
Weymouth, MA 02190-1623
Phone
(781) 624-5065
Fax
(781) 624-4428
NPI assigned
Nov 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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 RN2289260 MA Primary

Addresses

Primary practice location

797 Main St
Weymouth, MA 02190-1623

Mailing address

112 Dolan Cir
East Taunton, MA 02718-1235
Phone (774) 218-9017

Other practice location 1

143 Longwater Dr
Norwell, MA 02061-1683
Phone (781) 878-5200

Other practice location 2

55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 624-8000

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
I20170804002370 MA Practitioner - Nurse Practitioner 6709157027 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Medical AssociatesGroup PAC ID 7113029257, 443 clinicians
Total Wellness Centers LLCGroup PAC ID 2860536919, 39 clinicians

Practice addresses (Care Compare)

55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 792-4136

61 Industrial Park Rd
Suite 2
Plymouth, MA 02360-7246
Phone (508) 503-5020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as group
Quality
88.12
Promoting interoperability
71
Improvement activities
40
Cost
77.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9723WIMDPhysical Therapist
RN2289260MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Wellness Centers, LLC CurrentSince Jul 1, 2017 Accepting new patients
Total Wellness Centers, LLC CurrentSince Jul 1, 2017 Accepting new patients
Dimock Community Health Center, Inc CurrentSince Jul 18, 2025 Accepting new patients
South Shore Medical Center, Inc. CurrentSince Feb 15, 2023 Accepting new patients
Dimock Community Health Center, Inc CurrentSince Jul 18, 2025 Accepting new patients
Coastal Medical Associates CurrentSince Mar 21, 2021 Accepting new patients

Locations

2451 E Baseline Rd
Ste 430
Gilbert, AZ 85234
Phone (602) 313-4391

8410 W Thomas Rd
Ste 124
Phoenix, AZ 85037
Phone (480) 417-5289

4925 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 442-0402

59 Bobala Rd
Holyoke, MA 01040
Phone (413) 486-7819

5 Tarkiln Rd
Kingston, MA 02364
Phone (781) 585-2200

92 Grape St
New Bedford, MA 02740
Phone (508) 991-4100

143 Longwater Dr
Norwell, MA 02061
Phone (781) 792-4136

61 Industrial Park Rd
Ste 2
Plymouth, MA 02360
Phone (508) 503-5020

45 Dimock St
Roxbury, MA 02119

55 Dimock St
Roxbury, MA 02119

900 Memorial Ave
West Springfield, MA 01089
Phone (413) 739-9001

797 Main St
Weymouth, MA 02190
Phone (781) 331-4450

55 Fogg Rd
#81
Weymouth, MA 02190

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

8 Cadillac Dr
Ste 180
Brentwood, TN 37027

Organizations & group practices 6

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": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1881136901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 DOLAN CIR",
            "city": "EAST TAUNTON",
            "state": "MA",
            "postal_code": "027181235",
            "telephone_number": "774-218-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "797 MAIN ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021901623",
            "telephone_number": "781-624-5065",
            "fax_number": "781-624-4428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "143 Longwater Dr",
            "address_purpose": "LOCATION",
            "city": "Norwell",
            "state": "MA",
            "postal_code": "020611683",
            "country_code": "US",
            "telephone_number": "781-878-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Fogg Rd",
            "address_purpose": "LOCATION",
            "city": "Weymouth",
            "state": "MA",
            "postal_code": "021902432",
            "country_code": "US",
            "telephone_number": "781-624-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGGERTY",
        "first_name": "ALEXANDRA",
        "middle_name": "MCCLELLAN",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-07",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN2289260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

Verify at the official NPI Registry.