Individual provider Active NPI

Katherine Siobhan Rivest, PA-C

  • Medical Physician Assistant
  • Easthampton, MA
National Provider Identifier
1164766226
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA4575 Issued in MA
Practice address
2 Mechanic St
Suite a
Easthampton, MA 01027-1562
Phone
(413) 529-9282
Fax
(413) 527-7526
NPI assigned
Nov 15, 2012
Last updated
Jan 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA4575 MA Primary

Addresses

Primary practice location

2 Mechanic St
Suite a
Easthampton, MA 01027-1562

Mailing address

6 Parc PL
Suite a
Southampton, MA 01073-9277
Phone (413) 529-9282

Other names 1

  • Katherine Siobhan O'Connor Former name

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
I20140417002043 MA Practitioner - Physician Assistant 6103058508 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10 Hospital Dr
Holyoke, MA 01040-6603

262 New Ludlow Rd
Chicopee, MA 01020-4324

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA4575MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Western Mass Physician Associates Inc CurrentSince Nov 1, 2018 Accepting new patients
Holyoke Medical Center, Inc. Current Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Past Accepting new patients

Locations

10 Hospital Dr
Ste 301
Holyoke, MA 01040
Phone (413) 534-2622

10 Hospital Dr
Ste 306
Holyoke, MA 01040
Phone (413) 539-6830

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

6 Parc Pl
Ste A
Southampton, MA 01073
Phone (413) 529-9282

Interoperability endpoints

  • Direct secure messaging: katherine.rivest@direct.hmcs.masshiway.net

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1164766226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PARC PL",
            "address_2": "SUITE A",
            "city": "SOUTHAMPTON",
            "state": "MA",
            "postal_code": "010739277",
            "telephone_number": "413-529-9282",
            "fax_number": "413-527-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MECHANIC ST",
            "address_2": "SUITE A",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010271562",
            "telephone_number": "413-529-9282",
            "fax_number": "413-527-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVEST",
        "first_name": "KATHERINE",
        "middle_name": "SIOBHAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA4575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "O'CONNOR",
            "middle_name": "SIOBHAN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Easthampton, MA

Sources for this page

Verify at the official NPI Registry.