Individual provider Active NPI

Katelynn T Agrafiotis, PA-C

  • Physician Assistant
  • Belchertown, MA
National Provider Identifier
1104124858
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA4139 Issued in MA
Practice address
35 Bridge St
Belchertown, MA 01007-8909
Phone
(413) 213-0550
Fax
(413) 213-0554
NPI assigned
Mar 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA4139 MA Primary

Addresses

Primary practice location

35 Bridge St
Belchertown, MA 01007-8909

Mailing address

35 Bridge St
Belchertown, MA 01007-8909
Phone (413) 213-0550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA4139MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Athol Memorial Hospital Incorporated Physician Assistant CurrentSince May 1, 2018 Accepting new patients
Heywood Affiliated Medical Group Inc. CurrentSince Jan 18, 2016 Accepting new patients

Locations

2033 Main St
Athol, MA 01331
Phone (978) 249-1295

266 Main St
Gardner, MA 01440
Phone (978) 630-5030

250 Green St
Gardner, MA 01440
Phone (978) 630-5050

Interoperability endpoints

  • Direct secure messaging: katelynn.agrafiotis.2@192.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1104124858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BRIDGE ST",
            "city": "BELCHERTOWN",
            "state": "MA",
            "postal_code": "010078909",
            "telephone_number": "413-213-0550",
            "fax_number": "413-213-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BRIDGE ST",
            "city": "BELCHERTOWN",
            "state": "MA",
            "postal_code": "010078909",
            "telephone_number": "413-213-0550",
            "fax_number": "413-213-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAFIOTIS",
        "first_name": "KATELYNN",
        "middle_name": "T",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-04",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA4139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belchertown, MA

Sources for this page

Verify at the official NPI Registry.