Kaitlyn Chu, NP

Primary specialty

Oncology Registered NurseTaxonomy code 163WX0200X

License

RN2328690 Issued in MA

Practice address

551 Boylston St Ste 4
Boston, MA 02116-3680

Phone

(617) 658-3421

Fax

(617) 604-1830

NPI assigned

Nov 16, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kaitlyn Fishman Former name

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Novella Medicine Services of Massachusetts PLLCGroup PAC ID 2769863935, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Novella Medicine Services of Massachusetts, PLLC

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1689316283
  Medicare reassignment Care Compare group NPD
• Vega Vitality Ventures Inc.

  • Clinic/Center
  • Boston, MA
  • NPI 1275363384
  NPD Authorized official
• Novella Medicine Services of Massachusetts, PLLC

  • Internal Medicine Physician
  • Waterbury, CT
  • NPI 1932805660
  NPD

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1124784905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 BOYLSTON ST STE 4",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163680",
            "telephone_number": "508-320-3289",
            "fax_number": "617-604-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 BOYLSTON ST STE 4",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163680",
            "telephone_number": "617-658-3421",
            "fax_number": "617-604-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "KAITLYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "MA",
            "license": "RN2328690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "FISHMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Derrick Michael Chu, MD PHD
• Gary Yiu-Kin Chu, OD MPH
• Jaclyn Hyoun-Kyoung Chu, M.D.
• Jacqueline T Chu, MD
• Jennifer Chu, M.D.
• Lai Ping Chu
• Louis Chu, M.D.
• Paul Chu
• Qi Chu
• Sarah Chu

• Oncology Registered Nurse in Boston, MA
• Providers in Boston, MA by specialty
• Oncology Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.