NPIMap

Individual provider Active NPI

Monika Magdalena Sullivan, APRN

  • Women's Health Nurse Practitioner
  • Northampton, MA
National Provider Identifier
1346609955
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN2287807 Issued in MA
Practice address
325B King St
Northampton, MA 01060-2370
Phone
(413) 586-2496
Fax
(413) 923-5557
NPI assigned
Feb 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN2287807 MA Primary

Addresses

Primary practice location

325B King St
Northampton, MA 01060-2370

Mailing address

280 Chestnut St FL 2
Springfield, MA 01199-1001
Phone (413) 794-5700

Other practice location 1

3300 Main St Fl 4
Springfield, MA 01107-1112
Phone (413) 794-7045

Other names 1

  • Monika Magdalena Mruk Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160429000547 CT Practitioner - Nurse Practitioner 3577862390 Reassigns benefits to 2 organizations
I20221116000892 MA Practitioner - Nurse Practitioner 3577862390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baystate Medical Practices IncGroup PAC ID 5991602971, 1,350 clinicians

Practice addresses (Care Compare)

3300 Main St
FL 4
Springfield, MA 01107-1112
Phone (413) 794-7045

Hospital & facility affiliations

  • Baystate Medical Center Hospital, Springfield, MA, CCN 220077
  • Baystate Franklin Medical Center Hospital, Greenfield, MA, CCN 220016
  • Baystate Noble Hospital Hospital, Westfield, MA, CCN 220065
  • Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6466CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate Medical Practices, Inc CurrentSince Oct 20, 2022 Accepting new patients
Physicians for Women'S Health LLC Women'S Health CurrentSince May 1, 2018 Accepting new patients
Baystate Medical Center, Inc. PastSince Oct 20, 2022 Accepting new patients

Locations

22 Waterville Rd
Avon, CT 06001
Phone (860) 678-3461

103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789

325B King St
Northampton, MA 01060
Phone (413) 387-4100

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

280 Chestnut St
Fl 2
Springfield, MA 01199
Phone (413) 788-4385

3300 Main St
Fl 4
Springfield, MA 01107
Phone (413) 794-5555

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1346609955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT ST FL 2",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991001",
            "telephone_number": "413-794-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325B KING ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602370",
            "telephone_number": "413-586-2496",
            "fax_number": "413-923-5557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Main St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011071112",
            "country_code": "US",
            "telephone_number": "413-794-7045",
            "fax_number": "413-794-7345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MONIKA",
        "middle_name": "MAGDALENA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-11",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MA",
            "license": "RN2287807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONIKA",
            "last_name": "MRUK",
            "middle_name": "MAGDALENA",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.