Active NPI
Caroline Chen
- Physician Assistant
- Waterbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 56 Franklin St
St. Mary'S Hospital
Waterbury, CT 06706-1253 - Phone
- (857) 350-6180
- NPI assigned
- Nov 14, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | CT | Primary |
Addresses
Primary practice location
56 Franklin St
St. Mary'S Hospital
Waterbury, CT 06706-1253
Mailing address
59 Cochichewick Dr
North Andover, MA 01845-1232
Other names 1
- Caroline Chen
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160527000622 | MA | Practitioner - Physician Assistant | 7719110972 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cambridge Public Health Commission
Practice addresses (Care Compare)
103 Garland St
Everett, MA 02149-5066
Phone (617) 389-6270
Hospital & facility affiliations
- Cambridge Health Alliance
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.27 of 100
- Quality
- 77.51
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cambridge Public Health Commission | Current | Accepting new patients | |
| Long River Physicians, LLC | Past | Accepting new patients | |
| Cambridge Public Health Commission | Past | Accepting new patients |
Locations
1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185
103 Garland St
Everett, MA 02149
Phone (617) 381-7150
Interoperability endpoints
- caroline.chen.p27@direct.medcor.nextgenshare.com
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1487603585
-
- Psychiatric Hospital Unit
- Cambridge, MA
- NPI 1447348313
-
- Community/Retail Pharmacy
- Cambridge, MA
- NPI 1558427823
-
- Internal Medicine Physician
- Naugatuck, CT
- NPI 1912241589
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1487603585
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384387200000",
"number": "1942630751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 COCHICHEWICK DR",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018451232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 FRANKLIN ST",
"address_2": "ST. MARY'S HOSPITAL",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067061253",
"telephone_number": "857-350-6180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "CAROLINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-14",
"last_updated": "2013-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLINE",
"last_name": "CHEN",
"credential": "PA-C",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.