HOME TOWN WELLNESS, LLC
NPI 1194410654
Nurse Practitioner - Family in Gardner, MA
About Home Town Wellness, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOME TOWN WELLNESS, LLC (NPI 1194410654) is a healthcare organization registered as a family in Gardner, Massachusetts and active in the NPI registry since April 2023. The organization maintains a secondary practice location in Athol and lists Kristina Gallant, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Home Town Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Home Town Wellness, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Home Town Wellness, LLC's NPI number?
The NPI number for Home Town Wellness, LLC is 1194410654. It was assigned to this organization in the NPPES registry on April 10, 2023.
Where is Home Town Wellness, LLC located?
Home Town Wellness, LLC is located at 242 Green St, Gardner, MA 01440. The listed phone number is (978) 669-5690.
What is Home Town Wellness, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Home Town Wellness, LLC enrolled in Medicare?
Yes. Home Town Wellness, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Home Town Wellness, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Home Town Wellness, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Home Town Wellness, LLC was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Home Town Wellness, Llc · NPI 1194410654
Family organization in Gardner, Massachusetts. Organization record, active in the CMS NPPES registry since April 10, 2023.
## Identity
- **NPI:** 1194410654 (Entity type: Organization)
- **Enumerated:** April 10, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Kristina Gallant, NURSE PRACTITIONER
## Practice location
- **Address:** 242 GREEN ST, Gardner, MA 01440-1373
- **Phone:** (978) 669-5690
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 10, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1194410654) · Data from the CMS NPPES public registry.