Patrycia Witwicki Dube, NP
Individual provider Active NPI Family Nurse Practitioner · Florence, MA
NPI 1083974844 · NPPES record last updated Jul 12, 2013
Key facts
- NPI
- 1083974844
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 251115 (MA)
- Practice address
- 10 Main St
Florence, MA 01062-3160 - Phone
- (413) 584-1588
- Fax
- (413) 588-0821
- NPI assigned
- May 25, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mass General Brigham Medical Group Western Massachusetts Inc
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
- Cooley Dickinson Hospital Inc,the
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 |
|---|---|---|---|---|
| I20120906000700 | MA | Practitioner - Nurse Practitioner | 0547418030 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakes/National Emergency Physicians Inc | Current |
Accepting new patients | |
| Boston'S Community Medical Group, Inc. | Current |
Accepting new patients | |
| Mass General Brigham Medical Group Western Massachusetts Inc | Current |
Accepting new patients | |
| Baystate Medical Practices, Inc | Past | Accepting new patients | |
| Hampden & Franklin County Cardiovascular Associates, PC | Past |
Accepting new patients |
Locations
575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570
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
- https://fhir4.healow.com/fhir/r4/JBFADA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 251115 | MA | Yes |
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
Other providers in Florence, MA
- Jennifer Depiero
- Julie Rice Dewalt
- Devin Donohoe
- Christopher John Dostal
- Diane Droescher
- Teila Ann Dupuis
- Elizabeth Eddington
- Rebekah Ehlrich
- Gary Einsidler
- Darlene Elias
All providers in Florence, 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 Jul 12, 2013. 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.