MS. CLAIRE M MCGOWAN CACNP CANP
NPI 1134180193
Nurse Practitioner - Acute Care in Boston, MA
NPI Status: Active since March 30, 2006
- Individual
- Female
- Nurse Practitioner
- Acute Care
- Accepts Insurance
- PECOS Enrolled
About CLAIRE MCGOWAN
This page provides the complete NPI Profile along with additional information for Claire Mcgowan, a provider established in Boston, Massachusetts with a medical specialization in Nurse Practitioner, focusing in acute care . The healthcare provider is registered in the NPI registry with number 1134180193 assigned on March 2006. The practitioner's primary taxonomy code is 363LA2100X with license number 212029 (MA). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1134180193
- Provider Name
- MS. CLAIRE M MCGOWAN CACNP CANP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 800 WASHINGTON ST BOSTON, MA 02111
- Location Phone
- (617) 636-5000
- Mailing Address
- 800 WASHINGTON ST BOSTON, MA 02111
- Mailing Phone
- (617) 636-5000
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-30-2006
- Last Update Date
- 07-02-2020
- Code Navigator
A nurse practitioner (NP) like Claire Mcgowan is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Acute Care
- Taxonomy Code
- 363LA2100X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 212029
- License State
- MA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110025322A | MEDICAID (05) | MA |
Medicare Participation & PECOS Enrollment Status
Claire Mcgowan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
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.
This service was performed 41 times for 34 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 24 times for 22 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02111 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $97.64
- Minimum New Patient Price $63.72
- Maximum New Patient Price $189.86
- Average New Patient Copayment $24.41
- Minimum New Patient Copayment $15.93
- Maximum New Patient Copayment $47.46
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111.18
- Minimum Established Patient Price $21.07
- Maximum Established Patient Price $155.29
- Average Established Patient Copayment $27.79
- Minimum Established Patient Copayment $5.26
- Maximum Established Patient Copayment $38.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for MS. CLAIRE M MCGOWAN CACNP CANP
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 3 | 4 | 1 | 8 | 0 | 1 | 9 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 2 | 8 | 0 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 2 + 8 + 0 + 1 + 1 + 8 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1134180193 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1902891062 | PETER J CASTALDI M.D. Individual | Internal Medicine | 800 WASHINGTON ST BOX 63 BOSTON, MA 02111 (617) 636-5000 |
| 1982695284 | MANUEL N PACHECO M.D. Individual | Psychiatry & Neurology (Psychosomatic Medicine) | 800 WASHINGTON ST TUFTS MEDICAL CENTER BOX 1007 BOSTON, MA 02111 (617) 872-6522 |
| 1710961859 | DR. GEORGE GRAHAM MD Individual | Obstetrics & Gynecology | 800 WASHINGTON ST BOSTON, MA 02111 (617) 636-5000 |
| 1851375596 | DR. JEFFREY I LASKER MD Individual | Pediatrics | 800 WASHINGTON ST DEPT. OF PEDIATRICS BOSTON, MA 02111 (617) 636-5241 |
| 1285613356 | DR. JEFFREY MICHAEL CHAVIN M.D. Individual | Psychiatry & Neurology (Neurology) | 800 WASHINGTON ST #314 BOSTON, MA 02111 (617) 636-7581 |
| 1598738551 | STEVE A BOGEN M.D., PH.D. Individual | Pathology (Clinical Pathology/Laboratory Medicine) | 800 WASHINGTON ST BOX 115 BOSTON, MA 02111 (617) 636-1112 |
| 1265406847 | MS. KATHLEEN A COLEMAN NP Individual | Nurse Practitioner | 800 WASHINGTON ST GI LIVER GROUP P.C.TUFTS MEDICAL CENTER BOSTON, MA 02111 (617) 636-9502 |
| 1275507501 | DR. LUDWIG ERIK VON HAHN MD Individual | Pediatrics (Developmental - Behavioral Pediatrics) | 800 WASHINGTON ST BOX 334 BOSTON, MA 02111 (617) 636-1307 |
| 1831152149 | LINDA A BISHOP MD Individual | Pediatrics | 800 WASHINGTON ST BOX 286 DEPT. OF PEDIATRICS BOSTON, MA 02111 (617) 636-5000 |
| 1952365843 | MICHAEL H GOLDSTEIN M.D. Individual | Specialist | 800 WASHINGTON ST # 450 BOSTON, MA 02111 (617) 636-0626 |
| 1508821299 | DR. W. HEINRICH WURM M.D. Individual | Anesthesiology | 800 WASHINGTON ST TUFT-NEMC BOX 298 BOSTON, MA 02111 (617) 636-9301 |
| 1619935582 | KAREN C BRESNAHAN M.D. Individual | Pediatrics (Developmental - Behavioral Pediatrics) | 800 WASHINGTON ST CCSN # 334 BOSTON, MA 02111 (617) 636-7242 |
| 1174579718 | GIANNOULA LAKKA KLEMENT MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 800 WASHINGTON ST FLOATING HOSPITAL FOR CHILDREN AT TUFTS MEDICAL CENTER BOSTON, MA 02111 (617) 636-5535 |
| 1952358681 | ROGER A GRAHAM M.D. Individual | Surgery | 800 WASHINGTON ST BOX 7105 BOSTON, MA 02111 (617) 636-8270 |
| 1346287562 | WILLIAM FOO HING YEE M.D. Individual | Pediatrics (Pediatric Pulmonology) | 800 WASHINGTON ST TMC BOX# 343 BOSTON, MA 02111 (617) 636-7917 |
| 1043257546 | MARK V. ZILBERMAN M.D. Individual | Pediatrics (Pediatric Cardiology) | 800 WASHINGTON ST #313 BOSTON, MA 02111 (617) 636-5067 |
| 1053351585 | CHARLES CASSIDY M.D. Individual | Orthopaedic Surgery (Hand Surgery) | 800 WASHINGTON ST BOX 26 BOSTON, MA 02111 (617) 636-5150 |
| 1508806092 | MARY ELLEN BROWN MD Individual | Pediatrics | 800 WASHINGTON ST GENERAL PEDIATRICS - FLOATING HOSPITAL FOR CHILDREN BOSTON, MA 02111 (617) 636-5255 |
| 1811931991 | GEOFFREY BINNEY M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 800 WASHINGTON ST BOSTON, MA 02111 (617) 636-5000 |
| 1164457875 | DR. SUNIL DILIPKUMAR SHROFF MD Individual | Emergency Medicine | 800 WASHINGTON ST BOX #311 BOSTON, MA 02111 (617) 636-4721 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134180193, enumerated in the NPI registry as an "individual" on March 30, 2006
The provider is located at 800 Washington St Boston, Ma 02111 and the phone number is (617) 636-5000
The provider's speciality is Nurse Practitioner with taxonomy code 363LA2100X with a focus in Acute Care
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $97.64 with an average copayment of $24.41 for new patient appointments. Established patients should expect a typical charge of $111.18 and an average copayment of 27.79. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 30-39 minutes and Established patient office or other outpatient visit, 40-54 minutes.
This NPI record was last updated on March 30, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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