Active NPI 1801861471 Individual Practitioner Female Practitioner

Paula Flanagan , GNP

Nurse Practitioner • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Paula Flanagan, GNP is a registered healthcare professional specializing in Nurse Practitioner in Worcester, MA. Practice services are available at 530 PLANTATION ST under active NPI credentials.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, subsequent nursing facility care with high level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

530 Plantation St

Worcester, MA 01605

Telephone 5085952000

Fax 5088537149

Associated Practice Facility / Clinic

🏢 Quest Diagnostics Massachusetts Llc Facility NPI 1104844158

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Worcester, MA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.9 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

506 Specialists

Practicing in Worcester, MA (3545 Statewide)

Telehealth Adoption Rate

17.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	180	61	$233.00	$91.50
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	70	34	$177.00	$63.34
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	22	15	$233.00	$91.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	168	65	$233.00	$91.96
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	105	56	$177.00	$64.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	226	55	$233.00	$78.51
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	32	20	$177.00	$59.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	336	48	$233.00	$79.87
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	35	22	$177.00	$60.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	323	64	$233.00	$81.25
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	49	25	$177.00	$61.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	307	68	$233.00	$80.87
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	49	28	$178.14	$60.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	355	57	$222.00	$81.08
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	100	42	$169.00	$61.39
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	32	16	$329.00	$120.45
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	24	11	$222.00	$81.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	215	55	$222.00	$79.82
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	92	36	$169.00	$60.34
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	32	17	$222.00	$79.79
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	17	12	$109.00	$38.99
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	16	14	$329.00	$118.64

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA 197918

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0325201 (MA)

Commercial Insurance / Payer ID Evercare

8300352

Commercial Insurance / Payer ID Blue Shield Hmo Blue

NP2108

Commercial Insurance / Payer ID One Health Plan

04247226

Commercial Insurance / Payer ID Medicare B

NP2108

Commercial Insurance / Payer ID Three Rivers

042472266

Commercial Insurance / Payer ID Railroad Medicare

500009934

Commercial Insurance / Payer ID Harvard Pilgrim Healthcar

AA3665

Commercial Insurance / Payer ID Medicaid Welfare

0325201

Commercial Insurance / Payer ID Private Healthcare System

042472266

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

32 Associated Practitioners

Cara Simpson , GNP

Nurse Practitioner

NPI 1053397349

Lisa Iorio , NP

Nurse Practitioner - Family

NPI 1053771964

Nurse Practitioner

Ruth Remington , NP

Nurse Practitioner - Adult Health

NPI 1073595047

Nurse Practitioner

Jan Brozovsky , NP

Nurse Practitioner

NPI 1073690061

Nurse Practitioner

Lauri Toohey , ANP

Nurse Practitioner

NPI 1124276779

Adult Nurse Practitioner

Dr. Nancy Swayze , MD

Internal Medicine - Hospice and Palliative Medicine

NPI 1144298118

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 04, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location February 04, 2009

Registered at 530 PLANTATION ST, WORCESTER, MA 01605 (Tel: 5085952000)

📍

Updated Business Mailing Address February 04, 2009

Registered at 630 PLANTATION ST, WORCESTER, MA 01605 (Tel: 5085952000)

👤

Provider Name / Credentials Updated February 04, 2009

Recorded as PAULA FLANAGAN, GNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2009

Nurse Practitioner (License #197918 in MA)

🟢

Initial NPI Registration & Enumeration February 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801861471

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 17, 2006

Last Update: February 04, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

630 Plantation St

Worcester, MA 01605

Phone: 5085952000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.