NPIMap

Individual provider Active NPI

Rachel Wu

  • Family Nurse Practitioner
  • Springfield, MA
National Provider Identifier
1467705558
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2291684 Issued in MA
Practice address
1049 Main Street
Springfield, MA 01103
Phone
(413) 739-1100
Fax
(413) 735-1133
NPI assigned
Oct 26, 2012
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5197 CT
Family Nurse Practitioner 363LF0000X RN2291684 MA Primary

Addresses

Primary practice location

1049 Main Street
Springfield, MA 01103

Mailing address

1049 Main Street
Springfield, MA 01103
Phone (413) 739-1100

Other identifiers 3

IdentifierTypeStateIssuer
110028120MedicaidMA
1467705558OtherNPI#
MW0954102IOtherMACONTROLLED SUBSTANCE REGISTRATION

Other names 1

  • Ms. Kuanyi Wu Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140813002013 MA Practitioner - Nurse Practitioner 7113162322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riverbend Medical Group IncGroup PAC ID 5698064343, 227 clinicians

Practice addresses (Care Compare)

305 Bicentennial Hwy
Springfield, MA 01118-1962
Phone (413) 733-4101

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverbend Medical Group, Inc CurrentSince Jun 1, 2018 Accepting new patients
Riverbend Medical Group, Inc. CurrentSince Jun 1, 2018 Accepting new patients
Absolute Outcomes, LLC Past Accepting new patients
Practitioner Support Services LLP Nurse Practitioner Past Accepting new patients
Mwa,PC Past Accepting new patients

Locations

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

305 Bicentennial Hwy
Springfield, MA 01118
Phone (413) 733-4101

Interoperability endpoints

  • Direct secure messaging: rwu2389200@direct.trinity-health.org

Organizations & group practices 5

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.

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": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1467705558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 MAIN STREET",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01103",
            "telephone_number": "413-739-1100",
            "fax_number": "413-735-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 MAIN STREET",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01103",
            "telephone_number": "413-739-1100",
            "fax_number": "413-735-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "RACHEL",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "5197",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2291684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110028120",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI#",
            "identifier": "1467705558",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE REGISTRATION",
            "identifier": "MW0954102I",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KUANYI",
            "last_name": "WU",
            "prefix": "MS.",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.