Individual provider Active NPI

Kyleigh Alexis Golembeski

  • Family Nurse Practitioner
  • Worthington, MA
National Provider Identifier
1184399677
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2350083 Issued in MA
Practice address
58 Old North Rd
Worthington, MA 01098-9753
Phone
(413) 238-5511
NPI assigned
Aug 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2350083 MA Primary

Addresses

Primary practice location

58 Old North Rd
Worthington, MA 01098-9753

Mailing address

58 Old North Rd
Worthington, MA 01098-9753
Phone (413) 238-5511

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
I20211111002017 MA Practitioner - Nurse Practitioner 6608265756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

58 Old N Rd
Worthington, MA 01098-9753
Phone (413) 238-5511

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hilltown Community Health Centers, Inc. CurrentSince Oct 12, 2021 Accepting new patients
Hilltown Community Health Centers, Inc. CurrentSince Oct 12, 2021 Accepting new patients

Locations

58 Old North Rd
Worthington, MA 01098
Phone (413) 238-5511

Interoperability endpoints

  • Direct secure messaging: kgolembeski19444@direct.ctc.masshiway.net

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.

Hospital & facility affiliations 6

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": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1184399677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 OLD NORTH RD",
            "city": "WORTHINGTON",
            "state": "MA",
            "postal_code": "010989753",
            "telephone_number": "413-238-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 OLD NORTH RD",
            "city": "WORTHINGTON",
            "state": "MA",
            "postal_code": "010989753",
            "telephone_number": "413-238-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLEMBESKI",
        "first_name": "KYLEIGH",
        "middle_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2350083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, MA

Sources for this page

Verify at the official NPI Registry.