Individual provider Active NPI

Katharine Badger, PA

  • Physician Assistant
  • Springfield, MA
National Provider Identifier
1225454622
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA4948 Issued in MA
Practice address
354 Birnie Ave
Springfield, MA 01107-1108
Phone
(413) 733-3470
Fax
(413) 732-4216
NPI assigned
Mar 10, 2014
Last updated
Oct 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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 PA4948 MA Primary

Addresses

Primary practice location

354 Birnie Ave
Springfield, MA 01107-1108

Mailing address

1643 NW 136 Ave
Ste 100 MSC 11607-0001
Sunrise, FL 33323-2857
Phone (954) 584-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20140507002065 MA Practitioner - Physician Assistant 5395717995 Reassigns benefits to 2 organizations
I20230906003434 NY Practitioner - Physician Assistant 5395717995 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nott Street Medical PLLCGroup PAC ID 5193999670, 5 clinicians

Practice addresses (Care Compare)

59 Hetcheltown Rd
Schenectady, NY 12302-5506
Phone (518) 374-1655

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA4948MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nott Street Medical, PLLC CurrentSince Jan 1, 2026 Accepting new patients
The Mercy Hospital Inc Past Accepting new patients
CH Specialty Services Ma PC PastSince Jan 1, 2023 Accepting new patients

Locations

180 Washington Avenue Ext
Albany, NY 12203
Phone (518) 456-7831

1150 Nott St
Schenectady, NY 12308
Phone (518) 374-1655

526 Altamont Ave
Schenectady, NY 12303
Phone (518) 346-6121

59 Hetcheltown Rd
Scotia, NY 12302
Phone (518) 384-3600

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1225454622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 NW 136 AVE",
            "address_2": "STE 100 MSC 11607-0001",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232857",
            "telephone_number": "954-584-1000",
            "fax_number": "865-560-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 BIRNIE AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071108",
            "telephone_number": "413-733-3470",
            "fax_number": "413-732-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADGER",
        "first_name": "KATHARINE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-10",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA4948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.