Individual provider Active NPI

Laura Anne Meehan, FNP-BC

  • Primary Care Nurse Practitioner
  • Lowell, MA
National Provider Identifier
1891496386
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
F122220305 Issued in MA
Practice address
165 Thorndike St FL 4
Lowell, MA 01852-3485
Phone
(978) 955-9500
Fax
(978) 970-1115
NPI assigned
Mar 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X F122220305 MA Primary

Addresses

Primary practice location

165 Thorndike St FL 4
Lowell, MA 01852-3485

Mailing address

165 Thorndike St FL 4
Lowell, MA 01852-3485
Phone (978) 955-9500

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
I20231204002636 MA Practitioner - Nurse Practitioner 2466800271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mill City Medical Group LTDGroup PAC ID 3577507797, 19 clinicians

Practice addresses (Care Compare)

165 Thorndike St
FL 4
Lowell, MA 01852-3485
Phone (978) 955-9500

Hospital & facility affiliations

  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F122220305MAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mill City Medical Group LTD CurrentSince Oct 19, 2023 Accepting new patients

Locations

595 Pawtucket Blvd
Ste 2
Lowell, MA 01854
Phone (978) 459-8447

Interoperability endpoints

  • Direct secure messaging: lmeehan98903@tuftsmedicine.direct-ci.com

Organizations & group practices 1

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": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1891496386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 THORNDIKE ST FL 4",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018523485",
            "telephone_number": "978-955-9500",
            "fax_number": "978-970-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 THORNDIKE ST FL 4",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018523485",
            "telephone_number": "978-955-9500",
            "fax_number": "978-970-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEHAN",
        "first_name": "LAURA",
        "middle_name": "ANNE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "F122220305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.