Individual provider Active NPI

Patricia R Zabala, FNP

  • Family Nurse Practitioner
  • West Springfield, MA
National Provider Identifier
1235954330
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN231988 Issued in MA
Practice address
1482 Morgan Rd
West Springfield, MA 01089-4379
Phone
(413) 302-0437
NPI assigned
Nov 22, 2024
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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 RN231988 MA Primary

Addresses

Primary practice location

1482 Morgan Rd
West Springfield, MA 01089-4379

Mailing address

1482 Morgan Rd
West Springfield, MA 01089-4379
Phone (413) 302-0437

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
I20251028000517 MA Practitioner - Nurse Practitioner 8729304274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Impact Physician Group Massachusetts PLLCGroup PAC ID 2668976093, 5 clinicians

Practice addresses (Care Compare)

45 Lower Westfield Rd
Holyoke, MA 01040-2747
Phone (413) 315-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN231988MAMDFamily Nurse Practitioner

Organizations & group practices 1

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": "1732233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1235954330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1482 MORGAN RD",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894379",
            "telephone_number": "413-302-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1482 MORGAN RD",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894379",
            "telephone_number": "413-302-0437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABALA",
        "first_name": "PATRICIA",
        "middle_name": "R",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN231988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

Verify at the official NPI Registry.