Active NPI
Mackenzie Ellen Bohlen Towns, PA-C
- Physician Assistant
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2523
- Practice address
- 75 Francis St Emergency Department
Boston, MA 02115-1047 - Phone
- (617) 732-5500
- NPI assigned
- Aug 17, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1100 | ME | |
| Physician Assistant | 363A00000X | PA2523 | MA | Primary |
Addresses
Primary practice location
75 Francis St Emergency Department
Boston, MA 02115-1047
Mailing address
75 Francis St Emergency Department
Boston, MA 02115
Phone (617) 732-5500
Other practice location 1
1153 Centre St Emergency Department
Boston, MA 02130-1047
Phone (617) 983-7700
Other practice location 2
BWH Urgent Care 20 Patriot Place
Foborough, MA 02035-1047
Phone (617) 732-5500
Other practice location 3
22 Bramhall St
Portland, ME 04102-3175
Phone (207) 662-2381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081024000118 | MA | Practitioner - Physician Assistant | 0648338327 | Reassigns benefits to 1 organization |
| I20190206000646 | ME | Practitioner - Physician Assistant | 0648338327 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of New England, College of Osteo Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mainehealth
Practice addresses (Care Compare)
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
22 Station Ave
Brunswick, ME 04011-2092
Hospital & facility affiliations
- Mainehealth Mid Coast Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2523 | MA | MD | Physician Assistant |
| PA1100 | ME | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Bluewater Emergency Partners of Calais, LLC Dba: Bluewater Urgent Care | Past | Accepting new patients |
Locations
123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
Interoperability endpoints
- mtowns295943@direct.mmc.mainehealth.org
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
MA
-
- Emergency Medicine Physician
- Brunswick, ME
- NPI 1043640204
ME
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Endocrinology, Diabetes & Metabolism Physician
- Scarborough, ME
- NPI 1356651038
-
- Emergency Medicine Physician
- Brunswick, ME
- NPI 1881974665
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": "1187308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587513600000",
"number": "1992997423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 FRANCIS ST EMERGENCY DEPARTMENT",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-732-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 FRANCIS ST EMERGENCY DEPARTMENT",
"city": "BOSTON",
"state": "MA",
"postal_code": "021151047",
"telephone_number": "617-732-5500"
}
],
"practiceLocations": [
{
"address_1": "1153 Centre St Emergency Department",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021301047",
"country_code": "US",
"telephone_number": "617-983-7700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "BWH Urgent Care 20 Patriot Place",
"address_purpose": "LOCATION",
"city": "Foborough",
"state": "MA",
"postal_code": "020351047",
"country_code": "US",
"telephone_number": "617-732-5500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "22 Bramhall St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041023175",
"country_code": "US",
"telephone_number": "207-662-2381",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOWNS",
"first_name": "MACKENZIE",
"middle_name": "ELLEN BOHLEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-17",
"last_updated": "2020-04-22",
"certification_date": "2020-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA1100",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA2523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.