Ann Girlie Rivera Tkaczyk, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

040723-23 Issued in NH

Practice address

173 Daniel Webster Hwy
Nashua, NH 03060-5256

Phone

(603) 891-4500

Fax

(603) 891-4414

NPI assigned

Apr 9, 2009

Last updated

Nov 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern NH Medical Center Hospital, Nashua, NH, CCN 300020
• St Joseph Hospital Hospital, Nashua, NH, CCN 300011
• Webster at Rye Nursing home, Rye, NH, CCN 305099
• Fairview Nursing Home Nursing home, Hudson, NH, CCN 305100

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: atkaczyk1156415@direct.bsmhealth.org

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.

• St Joseph Hospital of Nashua NH

  • General Acute Care Hospital
  • Nashua, NH
  • NPI 1093787384
  Medicare reassignment Care Compare group NPD
• St Joseph Hospital of Nashua NH

  dba St Joseph Hospital Urgent Care

  • Urgent Care Clinic/Center
  • Milford, NH
  • NPI 1437758679
  NPD
• St Joseph Hospital of Nashua NH

  • Rehabilitation Hospital Unit
  • Nashua, NH
  • NPI 1669462792
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southern NH Medical Center

  • General Acute Care Hospital
  • Nashua, NH
  • NPI 1245447994
  Care Compare affiliation Name & address match
• Merrimac Medical Investors, LLC

  dba Fairview Nursing Home

  • Nursing Facility/Intermediate Care Facility
  • Hudson, NH
  • NPI 1629292727

  Nursing home

  Care Compare affiliation
• Rannie Webster Foundation

  dba Webster at Rye

  • Skilled Nursing Facility
  • Rye, NH
  • NPI 1114920568

  Nursing home

  Care Compare affiliation
• St Joseph Hospital of Nashua NH

  • General Acute Care Hospital
  • Nashua, NH
  • NPI 1093787384
  Care Compare affiliation
• St Joseph Hospital of Nashua NH

  dba St Joseph Hospital Urgent Care

  • Urgent Care Clinic/Center
  • Milford, NH
  • NPI 1437758679

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1073756821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/O ST MARY'S HEALTH SYSTEM - PROVIDER ENROLLMENT",
            "address_2": "PO BOX 7291",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042437291",
            "telephone_number": "207-777-8695",
            "fax_number": "207-777-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 DANIEL WEBSTER HWY",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030605256",
            "telephone_number": "603-891-4500",
            "fax_number": "603-891-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TKACZYK",
        "first_name": "ANN GIRLIE",
        "middle_name": "RIVERA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-09",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN225861",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "040723-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3075218",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colette Nicole Tilton, ARNP
• Kristen Marie Timothy, PT, DPT
• Jenna Tingley
• Chitra Tirupathur Srinivasan, PT
• Olivia Titus, BSW
• Annette Tobar, MD
• David Dominic Tobin, RPH
• Together Home Care Agency LLC
• Francois Noutcha Toka, NP
• Albert Tom, M.D.

• Family Nurse Practitioner in Nashua, NH
• Providers in Nashua, NH by specialty
• Family Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.