Individual provider Active NPI

Patrycia Witwicki Dube, NP

  • Family Nurse Practitioner
  • Florence, MA
National Provider Identifier
1083974844
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
251115 Issued in MA
Practice address
10 Main St
Florence, MA 01062-3160
Phone
(413) 584-1588
Fax
(413) 588-0821
NPI assigned
May 25, 2012
Last updated
Jul 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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 251115 MA Primary

Addresses

Primary practice location

10 Main St
Florence, MA 01062-3160

Mailing address

280 Chestnut St
2ND Floor
Springfield, MA 01199-1619
Phone (413) 794-5700

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
I20120906000700 MA Practitioner - Nurse Practitioner 0547418030 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10 Denniston PL
Womens Health
Northampton, MA 01060-2052
Phone (413) 586-9866

30 Locust St
Northampton, MA 01060-2052
Phone (413) 582-2441

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
251115MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakes/National Emergency Physicians Inc CurrentSince Mar 31, 2018 Accepting new patients
Boston's Community Medical Group, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc CurrentSince Apr 6, 2015 Accepting new patients
Hampden & Franklin County Cardiovascular Associates, PC PastSince Apr 1, 2020 Accepting new patients
Baystate Medical Practices, Inc Past Accepting new patients

Locations

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2626

10 Main St
Northampton, MA 01062
Phone (413) 341-9400

22 Atwood Dr
Ste 301
Northampton, MA 01060
Phone (413) 570-4900

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

30 Northampton St
Roxbury, MA 02118
Phone (617) 433-9601

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBFADA

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1083974844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT ST",
            "address_2": "2ND FLOOR",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991619",
            "telephone_number": "413-794-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MAIN ST",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010623160",
            "telephone_number": "413-584-1588",
            "fax_number": "413-588-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBE",
        "first_name": "PATRYCIA",
        "middle_name": "WITWICKI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-25",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "251115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, MA

Sources for this page

Verify at the official NPI Registry.