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KATHLEEN MCGUIGGAN N.P.
NPI 1427480698
Nurse Practitioner in Melrose, MA

Active since July 30, 2013PECOS EnrolledAccepts Medicare Assignment
585 LEBANON ST, MELROSE, MA 02176(781) 979-6989(781) 979-6906 Get Directions Write a Review

NPPES record last updated: July 30, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kathleen Mcguiggan N.p. NPPES

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

KATHLEEN MCGUIGGAN N.P. (NPI 1427480698) is an individual nurse practitioner in Melrose, Massachusetts, licensed in Massachusetts (143345) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Melrosewakefield Healthcare, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1427480698
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATHLEEN MCGUIGGANCredential: N.P.
Location Address585 LEBANON STMelrose, MA 02176-3225
Mailing Address585 Lebanon StMelrose, MA 02176-3225 · (781) 979-6989 · Fax (781) 979-6906
Phone(781) 979-6989
Fax(781) 979-6906
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 30, 2013
✔ NPI 1427480698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · 143345
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
585 LEBANON ST, Melrose, MA 02176
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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.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

Kathleen Mcguiggan N.p. 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 ID5991932931
PECOS Enrollment IDI20131218000737
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.

Areas of Expertise CMS Part B claims 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
163 services147 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
64 services43 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
20 services19 patients

Hospital Affiliations CMS Care Compare

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

Melrosewakefield Healthcare

Acute Care Hospitals · Melrose, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220070
Location585 Lebanon StreetMelrose, MA 02176 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02176 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 20

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

ROBERT STOICA PHARMD
Pharmacist
585 LEBANON ST
MELROSE, MA 02176
Middlesex County (781) 979-3000
JOSHUA P STEIN M.D.
Radiology (Diagnostic Radiology)
585 LEBANON ST, HALLMARK IMAGING
MELROSE, MA 02176
Middlesex County (781) 979-3117
SARAH BLOOM
Physician Assistant
585 LEBANON ST
MELROSE, MA 02176
Middlesex County (781) 979-3635
ALEXANDER O. WALKER III M.D.
Emergency Medicine
585 LEBANON ST
MELROSE, MA 02176
Middlesex County (781) 979-3635
KASHIF SAMAD
Internal Medicine
585 LEBANON ST
MELROSE, MA 02176
Middlesex County (781) 979-3000
METROPOLITAN ANESTHESIA, LLC
Anesthesiology
585 LEBANON ST
MELROSE, MA 02176
Middlesex County (781) 979-3000
ELLEN ANNA RAWNSLEY RPH
Pharmacist
585 LEBANON ST
MELROSE, MA 02176
Middlesex County (781) 979-3855
KRISTIN MARIE TAMMARO NP
Nurse Practitioner (Acute Care)
585 LEBANON ST
MELROSE, MA 02176
Middlesex County (781) 979-3000

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 Kathleen Mcguiggan's NPI number?

The NPI number for Kathleen Mcguiggan is 1427480698. It was assigned to this individual provider in the NPPES registry on July 30, 2013.

Where is Kathleen Mcguiggan located?

Kathleen Mcguiggan practices at 585 Lebanon St, Melrose, MA 02176. The listed phone number is (781) 979-6989.

What is Kathleen Mcguiggan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kathleen Mcguiggan enrolled in Medicare?

Yes. Kathleen Mcguiggan 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.

What insurance does Kathleen Mcguiggan accept?

Health plans from Anthem Blue Cross and Blue Shield list Kathleen Mcguiggan 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 Kathleen Mcguiggan affiliated with any hospitals?

According to CMS data, Kathleen Mcguiggan is affiliated with Melrosewakefield Healthcare.

When was this NPI record last updated?

The NPPES record for Kathleen Mcguiggan was last updated on July 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.