Katherine Bajda, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Stratford, CT
NPI 1003199217 · NPPES record last updated Sep 23, 2011
Key facts
- NPI
- 1003199217
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 4798 (CT)
- Practice address
- 837 Prospect Drive
Stratford, CT 06615 - Phone
- (203) 521-6905
- NPI assigned
- Sep 23, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bridgeport Hospital
Practice addresses (Care Compare)
267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000
Hospital & facility affiliations
- Bridgeport Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.02 of 100
- Quality
- 87.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.51
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120202000169 | CT | Practitioner - Nurse Practitioner | 7214194281 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4798 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeport Hospital | Current |
Accepting new patients | |
| Bridgeport Hospital | Current |
Accepting new patients |
Locations
267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170
Interoperability endpoints
- kbajda11363@direct.ynhh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4768 | CT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4798 | CT | Yes |
Addresses
Primary practice location
837 Prospect Drive
Stratford, CT 06615
Mailing address
837 Prospect Drive
Stratford, CT 06615
Phone (203) 521-6905
Other providers in Stratford, CT
- Victoria Ault
- Cassie Auten
- John Clarence Berin Baas
- Back to Health Chiropractic of Stratford PC
- Back to Health Medical Center, P.C.
- Balanced Behavioral Health, LLC
- Jacqueline Alexandra Balarezo
- Philip Barasch
- Kalyn Bard
- Hope R Baxter
All providers in Stratford, CT · Psychiatric/Mental Health Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.