Individual provider Active NPI

Jacqueline Krzeminski, A.N.P

  • Adult Health Nurse Practitioner
  • Harwich, MA
National Provider Identifier
1225125271
Registry record updated Oct 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
255134 Issued in MA
Practice address
269 Chatham Rd
Harwich, MA 02645-3309
Phone
(508) 432-1400
Fax
(508) 430-2333
NPI assigned
Oct 9, 2006
Last updated
Oct 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 255134 MA Primary

Addresses

Primary practice location

269 Chatham Rd
Harwich, MA 02645-3309

Mailing address

PO Box 1413
Wellfleet, MA 02667-1413
Phone (508) 240-0208

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
I20090612000072 MA Practitioner - Nurse Practitioner 5991855942 Reassigns benefits to 1 organization
Practice locations: North Chatham, MA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians of Cape Cod HospitalGroup PAC ID 9638326671, 330 clinicians

Practice addresses (Care Compare)

27 Park St
Hyannis, MA 02601-5230
Phone (774) 552-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.3 of 100Reported as group
Quality
71.45
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
255134MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians of Cape Cod Hospital CurrentSince Feb 14, 2022 Accepting new patients
Outer Cape Health Services, Inc. Past Accepting new patients

Locations

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382313600000",
    "number": "1225125271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1413",
            "city": "WELLFLEET",
            "state": "MA",
            "postal_code": "026671413",
            "telephone_number": "508-240-0208",
            "fax_number": "508-240-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 CHATHAM RD",
            "city": "HARWICH",
            "state": "MA",
            "postal_code": "026453309",
            "telephone_number": "508-432-1400",
            "fax_number": "508-430-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRZEMINSKI",
        "first_name": "JACQUELINE",
        "credential": "A.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-09",
        "last_updated": "2013-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "255134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harwich, MA

Sources for this page

Verify at the official NPI Registry.