Individual provider Active NPI

Kirsten Przywara Opalach, PA-C

  • Physician Assistant
  • Middletown, DE
National Provider Identifier
1184812224
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0000613 Issued in DE
Practice address
124 Sleepy Hollow Dr
Middletown, DE 19709-5838
Phone
(302) 449-3100
Fax
(302) 449-3110
NPI assigned
Oct 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C5-0000613 DE Primary

Addresses

Primary practice location

124 Sleepy Hollow Dr
Middletown, DE 19709-5838

Mailing address

124 Sleepy Hollow Dr
Middletown, DE 19709-5838
Phone (302) 449-3100

Other names 1

  • Kirsten Marie Przywara Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20080122000412 DE Practitioner - Physician Assistant 0547341141 Reassigns benefits to 1 organization
I20120106000331 MD Practitioner - Physician Assistant 0547341141 Reassigns benefits to 2 organizations
I20180116000175 DC Practitioner - Physician Assistant 0547341141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Quality PartnersGroup PAC ID 0143657247, 96 clinicians

Practice addresses (Care Compare)

1 Chestnut Hill PLZ
Suite C
Newark, DE 19713-2761
Phone (302) 455-2730

101 N E PLZ
Christianacare Gohealth Urge
North East, MD 21901-3633
Phone (410) 656-7867

1011 E Songsmith Dr
Christianacare Gohealth Urgent Care
Bear, DE 19701-1194
Phone (302) 918-7509

129 N Dupont Hwy
New Castle, DE 19720-3135
Phone (302) 501-6367

2645 Pulaski Hwy
SPC a
Newark, DE 19702-3909
Phone (302) 273-1317

310 E Pulaski Hwy
Christianacare Gohealth Urge
Elkton, MD 21921-6435
Phone (443) 485-6213

360 Buckley Mill Rd
Suite B
Greenville, DE 19807-3035
Phone (302) 299-1001

4724 Limestone Rd
Wilmington, DE 19808-1928
Phone (302) 467-3595

550 S College Ave
115 Christianacare Gohealth Urgent Care
Newark, DE 19713-1324
Phone (302) 273-0727

749 Middletown Warwick Rd
Christianacare Gohealth Urgent Care
Middletown, DE 19709-9095
Phone (302) 273-1614

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C5-0000613DEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MNR Industries LLC CurrentSince Jul 11, 2016 Accepting new patients
MNR Industries, LLC CurrentSince Oct 21, 2017 Accepting new patients
MNR Industries, LLC CurrentSince Jul 11, 2016 Accepting new patients
MNR Industries LLC Current Accepting new patients
Christiana Care Quality Partners PastSince Aug 1, 2021 Accepting new patients
Delmar Emergency Specialists PA Emergency Medicine Past Accepting new patients

Locations

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

101 North East Plz
North East, MD 21901
Phone (410) 543-2020

Interoperability endpoints

  • Direct secure messaging: kirsten.opalach@ghuccc.eclinicaldirectplus.com

Organizations & group practices 9

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": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1184812224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SLEEPY HOLLOW DR",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095838",
            "telephone_number": "302-449-3100",
            "fax_number": "302-449-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 SLEEPY HOLLOW DR",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095838",
            "telephone_number": "302-449-3100",
            "fax_number": "302-449-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPALACH",
        "first_name": "KIRSTEN",
        "middle_name": "PRZYWARA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-12",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0000613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "PRZYWARA",
            "middle_name": "MARIE",
            "credential": "NONE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middletown, DE

Sources for this page

Verify at the official NPI Registry.