Individual provider Active NPI

Viktor Shalypin, NP

  • Nurse Practitioner
  • West Springfield, MA
National Provider Identifier
1164383642
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2345809 Issued in MA
Practice address
86 Ashley Ave
West Springfield, MA 01089-1302
Phone
(413) 693-2852
NPI assigned
Nov 24, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2345809 MA Primary

Addresses

Primary practice location

86 Ashley Ave
West Springfield, MA 01089-1302

Mailing address

15 Ridgecrest Cir
Westfield, MA 01085-4525
Phone (413) 777-0353

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
I20251229002073 MA Practitioner - Nurse Practitioner 7113413279 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

86 Ashley Ave
W Springfield, MA 01089-1302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2345809MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
S. Lowell Kahn MD PC Vascular & Interventional Radiology CurrentSince Dec 9, 2025 Accepting new patients

Locations

86 Ashley Ave
West Springfield, MA 01089
Phone (413) 693-2852

Organizations & group practices 3

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": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1164383642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 RIDGECREST CIR",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010854525",
            "telephone_number": "413-777-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 ASHLEY AVE",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891302",
            "telephone_number": "413-693-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALYPIN",
        "first_name": "VIKTOR",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2345809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

Verify at the official NPI Registry.