Tina Marie Tkaczek, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

217600 Issued in MA

Practice address

2150 Main Street
Springfield, MA 01104

Phone

(413) 739-5676

Fax

(413) 733-5860

NPI assigned

Jul 27, 2006

Last updated

Jan 2, 2015By the provider in NPPES

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

• Tina Marie Schmuck 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

Universite de Montreal Faculte de Med Dentaire, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Inpatient Medical Associates IncGroup PAC ID 7416846977, 59 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Ctr Hospital, Springfield, MA, CCN 220066

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: ttkaczek2389407@direct.trinity-health.org

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.

• Mercy Inpatient Medical Associates Inc.

  dba Trinity Health Of New England Medical Group

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1407845282

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• CH Specialty Services Ma PC

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1902510720
  Medicare reassignment NPD
• Curana Health of Massachusetts LLC

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1154779445
  Medicare reassignment NPD
• Riverbend Medical Group, Inc.

  dba Trinity Health Of New England Medical Group

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1841651197
  Medicare reassignment
• Accountable Care Clinical Services PC

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1760731137
  NPD (past)
• Hampden County Physician Associates, LLC

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1992794770
  NPD (past)
• Hampden County Physician Associates, LLC.

  • Sleep Medicine (Internal Medicine) Physician
  • Southwick, MA
  • NPI 1548567696
  NPD (past)
• The Mercy Hospital Inc

  dba Providence Behavioral Health Hospital

  • Psychiatric Hospital
  • Holyoke, MA
  • NPI 1629062906
  NPD (past)

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

• The Mercy Hospital Inc

  dba Mercy Medical Center

  • General Acute Care Hospital
  • Springfield, MA
  • NPI 1043204316
  Care Compare affiliation
• The Mercy Hospital Inc

  dba Mercy Rehabilitation Hospital

  • Rehabilitation Hospital Unit
  • Springfield, MA
  • NPI 1750360798
  Care Compare affiliation

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420156800000",
    "number": "1154335354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 MAIN STREET",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01104",
            "telephone_number": "413-739-5676",
            "fax_number": "413-733-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 MAIN STREET",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01104",
            "telephone_number": "413-739-5676",
            "fax_number": "413-733-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TKACZEK",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "217600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "SCHMUCK",
            "middle_name": "MARIE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Indera Tiwari
• Ashish Tiwari, MD
• Reshma Tiwari, PA
• Vishal K Tiwari, MD
• Abhinav Kumar Tiwary, M.D
• David Lewis Tobin, PH.D.
• Liya Tochilnikova
• Sarah Elizabeth Todd, CNM
• Greg S. Toegel
• Sandra Ama Toffay, NP

• Nurse Practitioner in Springfield, MA
• Providers in Springfield, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.