Individual provider Active NPI

Katie Joslyn Costa, NP

  • Family Nurse Practitioner
  • Greenfield, MA
National Provider Identifier
1083961684
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2270157 Issued in MA
Practice address
102 Main St
Greenfield, MA 01301-3275
Phone
(413) 325-8500
NPI assigned
Aug 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2270157 MA Primary

Addresses

Primary practice location

102 Main St
Greenfield, MA 01301-3275

Mailing address

102 Main St
Greenfield, MA 01301-3275
Phone (413) 325-8500

Other names 1

  • Katie Josyln Seamon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20121109000013 MA Practitioner - Nurse Practitioner 7517118086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Center of Franklin County IncorporatedGroup PAC ID 5597674770, 24 clinicians

Practice addresses (Care Compare)

102 Main St
Greenfield, MA 01301-3275
Phone 4133258500109

Hospital & facility affiliations

  • Baystate Franklin Medical Center Hospital, Greenfield, MA, CCN 220016
  • Baystate Medical Center Hospital, Springfield, MA, CCN 220077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2270157MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Franklin County Incorporated CurrentSince Oct 10, 2023 Accepting new patients
Community Health Center of Franklin County Incorporated CurrentSince Oct 10, 2023 Accepting new patients
Community Health Center of Franklin County Incorporated Current Accepting new patients

Locations

102 Main St
Greenfield, MA 01301
Phone (413) 325-8500

119 New Athol Rd
Orange, MA 01364
Phone (978) 249-9033

119 New Athol Rd
Ste 110
Orange, MA 01364

Interoperability endpoints

  • Direct secure messaging: kcosta45849@direct.ctc.masshiway.net

Organizations & group practices 3

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

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1083961684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MAIN ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013013275",
            "telephone_number": "413-325-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MAIN ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013013275",
            "telephone_number": "413-325-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "KATIE",
        "middle_name": "JOSLYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2270157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "SEAMON",
            "middle_name": "JOSYLN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenfield, MA

Sources for this page

Verify at the official NPI Registry.