Individual provider Active NPI

Karen-Whitley Bishop, PA

  • Physician Assistant
  • Holden, MA
National Provider Identifier
1013007293
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
640 Issued in MA
Practice address
5 Shrewsbury St Ste D
Holden, MA 01520
Phone
(508) 829-3800
Fax
(508) 829-3802
NPI assigned
Oct 16, 2006
Last updated
Feb 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 640 MA Primary

Addresses

Primary practice location

5 Shrewsbury St Ste D
Holden, MA 01520

Mailing address

5 Shrewsbury St Ste D
Holden, MA 01520-1960

Other practice location 1

2040 Boston Rd Ste 5
Wilbraham, MA 01095-1380
Phone (413) 599-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110315000654 MA Practitioner - Physician Assistant 3072795814 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Specialists PC CurrentSince Jan 1, 2016 Accepting new patients

Locations

5 Shrewsbury St
Ste D
Holden, MA 01520
Phone (508) 829-3800

2040 Boston Rd
Ste 5
Wilbraham, MA 01095
Phone (413) 599-3800

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1013007293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SHREWSBURY ST STE D",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SHREWSBURY ST STE D",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "01520",
            "telephone_number": "508-829-3800",
            "fax_number": "508-829-3802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2040 Boston Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Wilbraham",
            "state": "MA",
            "postal_code": "010951380",
            "country_code": "US",
            "telephone_number": "413-599-3800",
            "fax_number": "413-279-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "KAREN-WHITLEY",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holden, MA

Sources for this page

Verify at the official NPI Registry.