CHELSIE M MCCARTHY FNP
NPI 1629419536
Nurse Practitioner - Family in Acton, MA

Active since July 09, 2013PECOS EnrolledAccepts Medicare Assignment
87.05/100
CMS Quality Rating

NPPES record last updated: June 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chelsie M Mccarthy Fnp NPPES

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

CHELSIE M MCCARTHY FNP (NPI 1629419536) is an individual family provider in Acton, Massachusetts, licensed in New York (338553) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Emerson Hospital -, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1629419536
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHELSIE M MCCARTHYCredential: FNP
Location Address321 MAIN STActon, MA 01720
Mailing Address321 Main StActon, MA 01720-3799 · (978) 635-8700 · Fax (212) 746-8387
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 9, 2013
Last NPPES UpdateJune 6, 2018
NPI 1629419536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 338553
Also ListedRegistered NurseTaxonomy 163W00000X · License 656914 (NY)
321 MAIN ST, Acton, MA 01720

Accepted 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

Chelsie M Mccarthy Fnp 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 ID5799907754
PECOS Enrollment IDI20180620000696
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 11

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 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.
67 services58 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.
55 services46 patients
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.
53 services47 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
28 services25 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.
26 services22 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
22 services19 patients

Hospital Affiliations CMS Care Compare

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

Emerson Hospital -

Acute Care Hospitals · W Concord, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220084
Location133 Old Road To 9 Acre CornerW Concord, MA 01742 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01720 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.

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.

87.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.99
Promoting Interoperability99
Improvement Activities40
Cost70.68

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers17 claims46 services$3.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
321 MAIN ST
ACTON, MA 01720
Internal Medicine
321 MAIN ST
ACTON, MA 01720
Internal Medicine
321 MAIN ST
ACTON, MA 01720
Internal Medicine
321 MAIN ST
ACTON, MA 01720
Internal Medicine
321 MAIN ST
ACTON, MA 01720
Nurse Practitioner (Family)
321 MAIN ST
ACTON, MA 01720
Nurse Practitioner (Pediatrics)
321 MAIN ST
ACTON, MA 01720
Nurse Practitioner (Family)
321 MAIN ST
ACTON, MA 01720

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 Chelsie Mccarthy's NPI number?

The NPI number for Chelsie Mccarthy is 1629419536. It was assigned to this individual provider in the NPPES registry on July 9, 2013.

Where is Chelsie Mccarthy located?

Chelsie Mccarthy practices at 321 Main St, Acton, MA 01720. The listed phone number is (978) 635-8700.

What is Chelsie Mccarthy's specialty?

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

Is Chelsie Mccarthy enrolled in Medicare?

Yes. Chelsie Mccarthy 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 Chelsie Mccarthy accept?

Health plans from Anthem Blue Cross and Blue Shield list Chelsie Mccarthy 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 Chelsie Mccarthy affiliated with any hospitals?

According to CMS data, Chelsie Mccarthy is affiliated with Emerson Hospital -.

When was this NPI record last updated?

The NPPES record for Chelsie Mccarthy was last updated on June 6, 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.