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CHRISTINE M. MCMAHON FNP-C
NPI 1649268277
Nurse Practitioner - Family in Gardner, MA

Active since October 07, 2005PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
250 GREEN ST, GARDNER, MA 01440(978) 630-5050(978) 630-5059 Get Directions Write a Review

NPPES record last updated: August 12, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Christine M. Mcmahon Fnp-c NPPES

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

CHRISTINE M. MCMAHON FNP-C (NPI 1649268277) is an individual family provider in Gardner, Massachusetts, licensed in Massachusetts (RN251913) 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 (2002).

NPPES Registry Identity

NPI1649268277
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHRISTINE M. MCMAHONCredential: FNP-C
Location Address250 GREEN STGardner, MA 01440-1396
Mailing Address250 Green St, Suite 107Gardner, MA 01440-1396 · (978) 630-5030 · Fax (978) 630-5059
Phone(978) 630-5050
Fax(978) 630-5059
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateOctober 7, 2005
Last NPPES UpdateAugust 12, 2011
✔ NPI 1649268277 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 · RN251913
250 GREEN ST, Gardner, MA 01440
Open in Google Maps ↗

Other Identifiers 4

Medicaid0700274MA
Medicare UPINP80066
Medicare UPINNP406902MA
Medicare PINNP4069MA

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 and accepts Medicare assignment

Christine M. Mcmahon 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 ID4385658939
PECOS Enrollment IDI20060202000573
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

4

Medicare enrollment records show Christine Mcmahon reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Henry Heywood Memorial Hospital
Same address
Hospitalist
242 GREEN ST
Gardner, MA 01440
  • Reassigned Medicare billing, Massachusetts enrollment
  • 344 clinicians in this Medicare group
NPI 1205448701 (978) 630-6944
Heywood Medical Group Inc.
Same address
General Practice
242 GREEN ST
Gardner, MA 01440
  • Reassigned Medicare billing, Massachusetts enrollment
  • 218 clinicians in this Medicare group
NPI 1699762286 (978) 630-5076
Community Health Connections, Inc.
1.1 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
Athol Memorial Hospital Incorporated
11 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

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

Hospital Affiliations CMS Care Compare 2

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

Athol Memorial Hospital

Critical Access Hospitals · Athol, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221303
Location2033 Main StreetAthol, MA 01331 · Worcester County
Emergency services

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

Reported Quality Measures

Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
93%86 patients
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%1,067 patients4/55-star benchmark: 99%
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%34 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.
47%176 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
30%109 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 98% · 83 patients
73%83 patients3/55-star benchmark: 98%
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%176 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…
47%176 patients3/55-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.
38%176 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 20

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

MICHELE C. PARKER M.D.
Family Medicine
250 GREEN ST
GARDNER, MA 01440
Worcester County (978) 669-0199
BARBARA J. WALKER RNNP
Nurse Practitioner
250 GREEN ST
GARDNER, MA 01440
Worcester County (978) 632-6445
AYAZ TARIQ MALIK M.D.
Internal Medicine (Gastroenterology)
250 GREEN ST, STE 212
GARDNER, MA 01440
Worcester County (978) 669-5522
JOHN M. SKRZYPCZAK M.D.
Emergency Medicine
250 GREEN ST
GARDNER, MA 01440
Worcester County (978) 630-6280
MELISSA KRISTEN CAPOTOSTO NP
Nurse Practitioner (Women's Health)
250 GREEN ST, SUITE 200
GARDNER, MA 01440
Worcester County (978) 632-6880
ERIN KATE DOOLEY MD/MPH
Family Medicine
250 GREEN ST
GARDNER, MA 01440
Worcester County (978) 630-6330
MERCY FAMILY PRACTICE PC
Family Medicine
250 GREEN ST, SUITE 200
GARDNER, MA 01440
Worcester County (978) 632-6445
JOHN WORDEN M.D.
Family Medicine
250 GREEN ST
GARDNER, MA 01440
Worcester County (978) 630-6445

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 Christine Mcmahon's NPI number?

The NPI number for Christine Mcmahon is 1649268277. It was assigned to this individual provider in the NPPES registry on October 7, 2005.

Where is Christine Mcmahon located?

Christine Mcmahon practices at 250 Green St, Gardner, MA 01440. The listed phone number is (978) 630-5050.

What is Christine Mcmahon's specialty?

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

Is Christine Mcmahon enrolled in Medicare?

Yes. Christine Mcmahon 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 Christine Mcmahon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christine Mcmahon reassigns Medicare benefits to 4 organizations: Henry Heywood Memorial Hospital (Gardner, MA), Heywood Medical Group Inc. (Gardner, MA), Community Health Connections, Inc. (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 Christine Mcmahon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Christine Mcmahon accept?

Health plans from Anthem Blue Cross and Blue Shield list Christine Mcmahon 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 Christine Mcmahon affiliated with any hospitals?

According to CMS data, Christine Mcmahon is affiliated with Heywood Hospital and Athol Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Christine Mcmahon was last updated on August 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.