TINA M GRIFFIN DNP, FNP-C
NPI 1295722072
Nurse Practitioner - Family in Gardner, MA

Active since October 05, 2005PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
266 MAIN ST, GARDNER, MA 01440(978) 630-5030(978) 630-5033 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tina M Griffin Dnp, Fnp-c NPPES

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

TINA M GRIFFIN DNP, FNP-C (NPI 1295722072) is an individual family provider in Gardner, Massachusetts, licensed in Massachusetts (178441) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Heywood Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1295722072
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTINA M GRIFFINCredential: DNP, FNP-C
Location Address266 MAIN STGardner, MA 01440-2927
Mailing Address266 Main StGardner, MA 01440-2927 · (978) 630-5030 · Fax (978) 630-5033
Fax(978) 630-5033
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateOctober 5, 2005
Last NPPES UpdateMarch 28, 2025
NPPES CertifiedMarch 28, 2025
✔ NPI 1295722072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MA · 178441
266 MAIN ST, Gardner, MA 01440

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tina M Griffin Dnp, Fnp-c 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 ID5092769380
PECOS Enrollment IDI20050309000791
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 Reassignments

3

Medicare enrollment records show Tina Griffin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
266 MAIN ST
Gardner, MA 01440
  • Reassigned Medicare billing, Massachusetts enrollment
  • Medicare enrollment name: Heywood Medical Group Inc.
  • 218 clinicians in this Medicare group
Hospitalist
242 GREEN ST
Gardner, MA 01440
  • Reassigned Medicare billing, Massachusetts enrollment
  • 344 clinicians in this Medicare group
Critical Access
2033 MAIN STREET
Athol, MA 01331
  • Reassigned Medicare billing, Massachusetts enrollment
  • 324 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
57 services42 patients
Administration and interpretation of patient-focused health risk assessment 96160
This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.
53 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services24 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
34 services33 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
23 services23 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Heywood Hospital

Acute Care Hospitals · Gardner, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220095
Location242 Green StreetGardner, MA 01440 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01440 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

Physician Assistant
266 MAIN ST
GARDNER, MA 01440
Nurse Practitioner
266 MAIN ST
GARDNER, MA 01440
Nurse Practitioner (Family)
266 MAIN ST
GARDNER, MA 01440
Family Medicine
266 MAIN ST, HEYWOOD FAMILY MEDICINE
GARDNER, MA 01440
Nurse Practitioner (Pediatrics)
266 MAIN ST
GARDNER, MA 01440
Clinic/Center (Urgent Care)
266 MAIN ST
GARDNER, MA 01440
Physician Assistant
266 MAIN ST
GARDNER, MA 01440
Physician Assistant
266 MAIN ST
GARDNER, MA 01440

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 Tina Griffin's NPI number?

The NPI number for Tina Griffin is 1295722072. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Where is Tina Griffin located?

Tina Griffin practices at 266 Main St, Gardner, MA 01440. The listed phone number is (978) 630-5030.

What is Tina Griffin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tina Griffin enrolled in Medicare?

Yes. Tina Griffin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Tina Griffin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Griffin reassigns Medicare benefits to 3 organizations: Heywood Affiliated Medical Group Inc. (Gardner, MA), Henry Heywood Memorial Hospital (Gardner, MA) and Athol Memorial Hospital Incorporated (Athol, MA). Each 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 Tina Griffin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tina Griffin accept?

Health plans from Taro Health list Tina Griffin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tina Griffin affiliated with any hospitals?

According to CMS data, Tina Griffin is affiliated with Heywood Hospital.

When was this NPI record last updated?

The NPPES record for Tina Griffin was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.