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MARY ELIZABETH TRAHAN MSN, APRN, AGPCNP-BC
NPI 1053994558
Nurse Practitioner - Adult Health in Lowell, MA

Active since May 03, 2021PECOS Enrolled
706 ROGERS ST, LOWELL, MA 01852(978) 937-9333(978) 937-9992 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 14, 2021, May 3, 2021 (2 updates tracked since 2021).

About Mary Elizabeth Trahan Msn, Aprn, Agpcnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ELIZABETH TRAHAN MSN, APRN, AGPCNP-BC (NPI 1053994558) is an individual adult health provider in Lowell, Massachusetts, licensed in Massachusetts (RN2289980) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053994558
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMARY ELIZABETH TRAHANCredential: MSN, APRN, AGPCNP-BC
Location Address706 ROGERS STLowell, MA 01852-4338
Mailing Address78 Edward StMedford, MA 02155-6656 · (207) 242-9113
Phone(978) 937-9333
Fax(978) 937-9992
Sole ProprietorNo
Enumeration DateMay 3, 2021
Last NPPES UpdateOctober 14, 20212 updates tracked since enumeration
NPPES CertifiedOctober 14, 2021
✔ NPI 1053994558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in MA · RN2289980✔ Licensed in NH · 084593-23
706 ROGERS ST, Lowell, MA 01852
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Elizabeth Trahan Msn, Aprn, Agpcnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mary Trahan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jack Chang MD PC
Same address
Internal Medicine
706 ROGERS ST
Lowell, MA 01852
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2 clinicians in this Medicare group
NPI 1235114216 (978) 937-9333

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01852 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACK CHANG MD PC
Internal Medicine
706 ROGERS ST
LOWELL, MA 01852
Middlesex County (978) 937-9333
JACK C CHANG MD
Internal Medicine
706 ROGERS ST
LOWELL, MA 01852
Middlesex County (978) 937-9333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Trahan's NPI number?

The NPI number for Mary Trahan is 1053994558. It was assigned to this individual provider in the NPPES registry on May 3, 2021.

Where is Mary Trahan located?

Mary Trahan practices at 706 Rogers St, Lowell, MA 01852. The listed phone number is (978) 937-9333.

What is Mary Trahan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Mary Trahan enrolled in Medicare?

Yes. Mary Trahan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Trahan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Trahan reassigns Medicare benefits to Jack Chang MD PC (Lowell, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Trahan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Trahan was last updated on October 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.