KRISTA E MCGINNIS PMHNP - NPI 1083214043 - Clinical Nurse Specialist in Framingham, MA

Q: What is Krista Mcginnis's NPI number?

The NPI number for Krista Mcginnis is 1083214043. It was assigned to this individual provider in the NPPES registry on October 29, 2020.

Q: What is Krista Mcginnis's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Child & Family, with taxonomy code 364SP0810X.

Q: When was this NPI record last updated?

The NPPES record for Krista Mcginnis was last updated on November 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Krista E Mcginnis Pmhnp NPPES

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

KRISTA E MCGINNIS PMHNP (NPI 1083214043) is an individual psychiatric/mental health, child & family provider in Framingham, Massachusetts, licensed in Massachusetts (RN2294745) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1083214043

Entity TypeIndividualFemale

Primary Taxonomy364SP0810X

Provider Legal NameKRISTA E MCGINNISCredential: PMHNP

Location Address1881 WORCESTER RD STE 203Framingham, MA 01701-5410

Mailing Address1881 Worcester Rd Ste 203Framingham, MA 01701-5410 · (508) 834-3183 · Fax (508) 532-1168

Phone(508) 834-3183

Fax(508) 532-1168

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 29, 2020

Last NPPES UpdateNovember 17, 20234 updates tracked since enumeration

NPPES CertifiedNovember 17, 2023

✔ NPI 1083214043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental Health, Child & FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SP0810X

License✔ Licensed in MA · RN2294745

Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License RN2294745 (MA)

1881 WORCESTER RD STE 203, Framingham, MA 01701

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Krista E Mcginnis Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709236474

PECOS Enrollment IDI20231220003031

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01701 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

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

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 10

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

DR. NIMISH M SHAH DNP, CNS-BC

Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)