Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John Thagard

Individual provider Family Nurse Practitioner · NPI 1194355578

John Thagard is a Nurse Practitioner in Lawrence, Massachusetts. Qualified in 2019, 7 years ago. Practices with Moonshot Psychiatric Nurse Practitioner PC, a 76-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and New Hampshire.

Years since qualifying
7
Licensed in
MA, NH
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

280 Merrimack St Ste 141
Lawrence, MA 01843-1780
Phone: (508) 901-2044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 25 Highland Ave, Newburyport, MA 01950-3867 — (978) 463-1000

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN2293449 (MA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 067929-23 (NH)

Record details

NPI number1194355578
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 24, 2020
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025
Mailing addressPo Box 415258, Boston, MA 02241-5258

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Moonshot Psychiatric Nurse Practitioner Pc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Lawrence