Individual provider Active NPI

Karyn Lynn Rossacci, NP

  • Nurse Practitioner
  • Palmer, MA
National Provider Identifier
1164778890
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN256683 Issued in MA
Practice address
40 Wright St
Wing Memorial Hospital
Palmer, MA 01069-1138
Phone
(413) 294-5308
Fax
(413) 284-5704
NPI assigned
Jul 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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 RN256683 MA Primary

Addresses

Primary practice location

40 Wright St
Wing Memorial Hospital
Palmer, MA 01069-1138

Mailing address

60 Hospital Rd
Wing Emergency Services
Leominster, MA 01453-2205
Phone (978) 466-2994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121025000782 MA Practitioner - Nurse Practitioner 8527218601 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN256683MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Milford Regional Physician Group, Inc. CurrentSince Oct 7, 2024 Accepting new patients
Milford Regional Physician Group, Inc. CurrentSince Oct 7, 2024 Accepting new patients

Locations

68A Main St
Ste 101
Medway, MA 02053
Phone (508) 533-6020

68A Main St
Ste 103
Medway, MA 02053
Phone (508) 321-2845

100 Medway Rd
Ste 401
Milford, MA 01757
Phone (508) 634-7338

129 S Main St
Milford, MA 01757
Phone (774) 462-3339

100 Commerce Dr
Northbridge, MA 01534
Phone (508) 234-6311

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": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1164778890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 HOSPITAL RD",
            "address_2": "WING EMERGENCY SERVICES",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532205",
            "telephone_number": "978-466-2994",
            "fax_number": "978-466-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WRIGHT ST",
            "address_2": "WING MEMORIAL HOSPITAL",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010691138",
            "telephone_number": "413-294-5308",
            "fax_number": "413-284-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSACCI",
        "first_name": "KARYN",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN256683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, MA

Sources for this page

Verify at the official NPI Registry.