Individual provider Active NPI

Meaghan Krajewski, APRN

  • Pediatric Nurse Practitioner
  • South Hadley, MA
National Provider Identifier
1508262353
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN282603 Issued in MA
Practice address
84 Willimansett St Ste C
South Hadley, MA 01075-3097
Phone
(860) 545-9650
NPI assigned
Nov 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN282603 MA Primary
Pediatric Nurse Practitioner 363LP0200X 5972 CT

Addresses

Primary practice location

84 Willimansett St Ste C
South Hadley, MA 01075-3097

Mailing address

123 Summer St # 690
Worcester, MA 01608-1216
Phone (508) 363-9530

Other practice location 1

84 Willimansett St
South Hadley, MA 01075-3097
Phone (860) 545-9965

Other practice location 2

123 Summer St # 690
Worcester, MA 01608-1216
Phone (508) 363-9530

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mkrajewski15829@connecticutchildrens.direct-ci.com

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
I20230901003254 MA Practitioner - Nurse Practitioner 0244554475 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN282603MAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Worcester Pediatrics PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: meaghan.krajewski.1@32232.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1508262353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SUMMER ST # 690",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081216",
            "telephone_number": "508-363-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 WILLIMANSETT ST STE C",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010753097",
            "telephone_number": "860-545-9650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "84 Willimansett St",
            "address_purpose": "LOCATION",
            "city": "South Hadley",
            "state": "MA",
            "postal_code": "010753097",
            "country_code": "US",
            "telephone_number": "860-545-9965",
            "fax_number": "860-545-9214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Summer St # 690",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016081216",
            "country_code": "US",
            "telephone_number": "508-363-9530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAJEWSKI",
        "first_name": "MEAGHAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN282603",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "5972",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkrajewski15829@connecticutchildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "84 Willimansett St Ste C",
            "city": "South Hadley",
            "state": "MA",
            "country_code": "US",
            "postal_code": "010753097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Hadley, MA

Sources for this page

Verify at the official NPI Registry.