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MRS. CARRIE-ANNE HALE CASE N.P.
NPI 1619318359
Nurse Practitioner - Family in Athol, MA

Active since July 10, 2013PECOS Enrolled
97.02/100
CMS Quality Rating
81 RESERVOIR DR, ATHOL, MA 01331(978) 248-5135(978) 248-5130 Get Directions Write a Review

NPPES record last updated: August 27, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Carrie-anne Hale Case N.p. NPPES

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

MRS. CARRIE-ANNE HALE CASE N.P. (NPI 1619318359) is an individual family provider in Athol, Massachusetts, licensed in Massachusetts (RN2266604) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and maintains a secondary practice location in Gardner.

NPPES Registry Identity

NPI1619318359
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CARRIE-ANNE HALE CASECredential: N.P.
Location Address81 RESERVOIR DRAthol, MA 01331-4901
Mailing Address81 Reservoir DrAthol, MA 01331-4901 · (978) 248-5135 · Fax (978) 248-5130
Phone(978) 248-5135
Fax(978) 248-5130
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 10, 2013
Last NPPES UpdateAugust 27, 2018
✔ NPI 1619318359 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 · RN2266604
81 RESERVOIR DR, Athol, MA 01331
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Carrie Anne Case

Secondary Practice Location 1

Location 1266 Main StGardner, MA 01440-2927 · Phone (978) 630-5030 · Fax (978) 630-5033

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Carrie-anne Hale Case N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820231186
PECOS Enrollment IDI20130905000605
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 Carrie-anne Case reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Heywood Medical Group Inc
Same address
Urgent Care
81 RESERVOIR DRIVE
Athol, MA 01331
  • Reassigned Medicare billing, Massachusetts enrollment
  • 218 clinicians in this Medicare group
NPI 1881123552 (978) 248-5135
Athol Memorial Hospital Incorporated
1.1 mi
Critical Access
2033 MAIN STREET
Athol, MA 01331
  • Reassigned Medicare billing, Massachusetts enrollment
  • 324 clinicians in this Medicare group
NPI 1336120047 (978) 249-3511
Community Health Connections, Inc.
9.7 mi
Federally Qualified Health Center (FQHC)
175 CONNORS STREET
Gardner, MA 01440
  • Reassigned Medicare billing, Massachusetts enrollment
  • 124 clinicians in this Medicare group
NPI 1285630533 (978) 410-6100

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 4

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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
35 services29 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
22 services16 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
16 services12 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01331 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

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
86%126 patients4/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
76%186 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
56%43 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%1,935 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
50%408 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%93 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
93%480 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%480 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
83%480 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
59%480 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

JACQUELYN R MCKEAN MD
Family Medicine
81 RESERVOIR DR
ATHOL, MA 01331
Worcester County (978) 248-5135
STEPHANIE RICHARDSON NP
Nurse Practitioner (Family)
81 RESERVOIR DR
ATHOL, MA 01331
Worcester County (978) 248-5135
ERIN KOSHINSKY CRNP
Nurse Practitioner (Family)
81 RESERVOIR DR
ATHOL, MA 01331
Worcester County (978) 248-5135
ASHLEY WARNER MD
Family Medicine
81 RESERVOIR DR
ATHOL, MA 01331
Worcester County (978) 248-5135

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 Carrie-anne Case's NPI number?

The NPI number for Carrie-anne Case is 1619318359. It was assigned to this individual provider in the NPPES registry on July 10, 2013. The provider is also known as Ms. Carrie Anne Case.

Where is Carrie-anne Case located?

Carrie-anne Case practices at 81 Reservoir Dr, Athol, MA 01331. The listed phone number is (978) 248-5135.

What is Carrie-anne Case's specialty?

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

Is Carrie-anne Case enrolled in Medicare?

Yes. Carrie-anne Case is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carrie-anne Case's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carrie-anne Case reassigns Medicare benefits to 3 organizations: Heywood Medical Group Inc (Athol, MA), Athol Memorial Hospital Incorporated (Athol, MA) and Community Health Connections, Inc. (Gardner, 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 Carrie-anne Case's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carrie-anne Case accept?

Health plans from Anthem Blue Cross and Blue Shield list Carrie-anne Case 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 Carrie-anne Case affiliated with any hospitals?

According to CMS data, Carrie-anne Case is affiliated with Umass Memorial Healthalliance Hospitals and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Carrie-anne Case was last updated on August 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.