Active NPI
Kristin Loucks, PA-C
- Medical Physician Assistant
- Norwood, MA
National Provider Identifier
1306465273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 13 E Hoyle St
Norwood, MA 02062-3405 - Phone
- (781) 551-8002
- NPI assigned
- Apr 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
13 E Hoyle St
Norwood, MA 02062-3405
Mailing address
122A Englewood Ave Apt 2
Boston, MA 02135-7029
Phone (520) 419-2012
Other practice location 1
435 N 5th St
Phoenix, AZ 85004-2157
Phone (602) 827-2450
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1020 Broadway
Somerville, MA 02144-1819
Phone (617) 628-2160
Hospital & facility affiliations
- Beth Israel Lahey Health at Home
- Mount Auburn Hospital
- Winchester Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Quality Inc. | Past | Accepting new patients |
Interoperability endpoints
- kloucks252851@direct.bilh.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.
-
- Family Medicine Physician
- Somerville, MA
- NPI 1275089575
-
- Health Service Clinic/Center
- North Andover, MA
- NPI 1306384672
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1689670259
-
- Home Health Agency
- Woburn, MA
- NPI 1346257474
-
- General Acute Care Hospital
- Winchester, MA
- NPI 1790740777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1306465273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122A ENGLEWOOD AVE APT 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021357029",
"telephone_number": "520-419-2012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 E HOYLE ST",
"city": "NORWOOD",
"state": "MA",
"postal_code": "020623405",
"telephone_number": "781-551-8002"
}
],
"practiceLocations": [
{
"address_1": "435 N 5th St",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850042157",
"country_code": "US",
"telephone_number": "602-827-2450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOUCKS",
"first_name": "KRISTIN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-10",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwood, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.