Caroline Sassetti-Hryczyk, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

73856 Issued in ID

Practice address

500 S 11TH Ave Ste 204
Pocatello, ID 83201-4878

Phone

(208) 232-3355

Fax

(855) 230-7350

NPI assigned

Mar 9, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Health West, Inc.

  • Federally Qualified Health Center (FQHC)
  • Preston, ID
  • NPI 1033595541
  NPD
• Health West, Inc.

  • Federally Qualified Health Center (FQHC)
  • Aberdeen, ID
  • NPI 1295734796
  NPD
• Health West, Inc.

  • Federally Qualified Health Center (FQHC)
  • Downey, ID
  • NPI 1588666945
  NPD
• Health West, Inc.

  • Federally Qualified Health Center (FQHC)
  • American Falls, ID
  • NPI 1629077235
  NPD
• Health West, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pocatello, ID
  • NPI 1639801350
  NPD
• Health West, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pocatello, ID
  • NPI 1740143882
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1477094498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S 11TH AVE STE 400",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014880",
            "telephone_number": "208-232-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S 11TH AVE STE 204",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014878",
            "telephone_number": "208-232-3355",
            "fax_number": "855-230-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASSETTI-HRYCZYK",
        "first_name": "CAROLINE",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-09",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "ID",
            "license": "73856",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "NCO-000006",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mickie Sant, LSW-24749
• Santa Clara Pediatrics & Behavioral Health PC
• Fernando Santana
• Christa Santos-Smith, LPC
• Jeannette M Sapp, LMSW/ CADC
• Samuel Saunders, DO
• Teagan Savage
• Clive Saxton
• Brett Sayer
• Chad T Schaugaard, LCSW

• Pediatric Nurse Practitioner in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Pediatric Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.