Desire Huckfeldt Kangsen
Individual provider Active NPI Family Nurse Practitioner · Shirley, MA
NPI 1043775562 · NPPES record last updated Feb 8, 2019
Key facts
- NPI
- 1043775562
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN279842 (MA)
- Practice address
- 1 Harvard Rd
Shirley, MA 01464-2434 - Phone
- (978) 514-6400
- NPI assigned
- Feb 8, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Community Health Connections, Inc
Practice addresses (Care Compare)
326 Nichols Rd
Fitchburg, MA 01420-1914
Phone (978) 878-8100
Hospital & facility affiliations
- Umass Memorial Healthalliance Hospitals
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 82.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- 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 |
|---|---|---|---|---|
| I20230530001602 | MA | Practitioner - Nurse Practitioner | 4880051267 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Connections, Inc. | Current |
Accepting new patients | |
| Community Health Connections, Inc. | Current |
Accepting new patients | |
| Community Health Connections, Inc. | Past | Accepting new patients |
Locations
326 Nichols Rd
Fitchburg, MA 01420
Phone (978) 343-5270
175 Connors St
Gardner, MA 01440
Phone (978) 410-6100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN279842 | MA | Yes |
Addresses
Primary practice location
1 Harvard Rd
Shirley, MA 01464-2434
Mailing address
1 Harvard Rd
Shirley, MA 01464-2434
Other providers in Shirley, MA
- Tabitha Githinji
- Henrick Hamberg
- Julia Hill
- Haley Holbert
- Lee James Holbrook
- Holly R Jasmin
- Michelle Maria Jones
- Joan Bei Kima-Tabong
- Elissa Kramerson
- Erika K Krause
All providers in Shirley, MA · Family Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2019. 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.