Individual provider Active NPI

Mariya Kirik

  • Nurse Practitioner
  • Springfield, MA
National Provider Identifier
1437802659
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2287267 Issued in MA
Practice address
50 Maple St
Springfield, MA 01103-1979
Phone
(413) 748-6484
NPI assigned
Jan 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2287267 MA Primary

Addresses

Primary practice location

50 Maple St
Springfield, MA 01103-1979

Mailing address

50 Maple St
Springfield, MA 01103-1979
Phone (413) 297-0791

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
I20220308001581 MA Practitioner - Nurse Practitioner 6901290949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hampden and Franklin County Cardiovascular Associates PCGroup PAC ID 9032153986, 20 clinicians

Practice addresses (Care Compare)

50 Maple St
Springfield, MA 01103-1979
Phone 4137486484202

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2287267MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hampden & Franklin County Cardiovascular Associates, PC CurrentSince Mar 1, 2022 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc PastSince Feb 17, 2015 Accepting new patients

Locations

596 South St
Holyoke, MA 01040
Phone (413) 534-1800

22 Atwood Dr
Ste 301
Northampton, MA 01060
Phone (413) 570-4900

50 Maple St
Springfield, MA 01103
Phone (413) 748-6484

300 Stafford St
Ste 262
Springfield, MA 01104
Phone (413) 732-3109

65 Springfield Rd
Ste 1
Westfield, MA 01085
Phone (413) 642-8052

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBFADA

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.

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": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1437802659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MAPLE ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031979",
            "telephone_number": "413-297-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MAPLE ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031979",
            "telephone_number": "413-748-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRIK",
        "first_name": "MARIYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2287267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.