Individual provider Active NPI

Keara Laura Martin, PA-C

  • Physician Assistant
  • Gardner, MA
National Provider Identifier
1912548702
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
250 Green St Ste 109
Gardner, MA 01440-1377
Phone
(978) 630-6545
NPI assigned
Oct 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

250 Green St Ste 109
Gardner, MA 01440-1377

Mailing address

250 Green St Ste 109
Gardner, MA 01440-1377
Phone (978) 630-6545

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
I20200309000501 MA Practitioner - Physician Assistant 8224466180 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athol Memorial Hospital IncorporatedGroup PAC ID 7911959846, 81 clinicians

Practice addresses (Care Compare)

2033 Main St
Athol, MA 01331-3535
Phone (978) 249-3511

Hospital & facility affiliations

  • Athol Memorial Hospital Hospital, Athol, MA, CCN 221303
  • Heywood Hospital - Hospital, Gardner, MA, CCN 220095

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Heywood Medical Group Inc CurrentSince Apr 1, 2022 Accepting new patients
Athol Memorial Hospital Incorporated Physician Assistant CurrentSince Apr 1, 2022 Accepting new patients

Locations

81 Reservoir Dr
Side
Athol, MA 01331

2033 Main St
Athol, MA 01331
Phone (978) 249-1295

250 Green St
Gardner, MA 01440
Phone (978) 630-5050

250 Green St
Ste 109
Gardner, MA 01440
Phone (978) 630-5008

Interoperability endpoints

  • Direct secure messaging: keara.martin.1@192.direct.athenahealth.com
  • Direct secure messaging: keara.martin.2@192.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/192/brand/1/csg/123/fhir/r4

Organizations & group practices 3

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 3

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": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1912548702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 GREEN ST STE 109",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014401377",
            "telephone_number": "978-630-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 GREEN ST STE 109",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014401377",
            "telephone_number": "978-630-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KEARA",
        "middle_name": "LAURA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, MA

Sources for this page

Verify at the official NPI Registry.