Katarzyna Swistak, FNP
Individual provider Active NPI Family Nurse Practitioner · East Granby, CT
NPI 1508331802 · NPPES record last updated Oct 12, 2018
Key facts
- NPI
- 1508331802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 7792 (CT)
- Practice address
- 13 Church St
East Granby, CT 06026-9406 - Phone
- (860) 653-4526
- NPI assigned
- Oct 12, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Holyoke Medical Center Inc
Practice addresses (Care Compare)
575 Beech St
Holyoke, MA 01040-2223
Phone (413) 534-2546
Hospital & facility affiliations
- Holyoke Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in CT, MA, NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181228000742 | CT | Practitioner - Family Practice | 4789929480 | Reassigns benefits to 1 organization |
| I20230317000100 | MA | Practitioner - Nurse Practitioner | 4789929480 | Reassigns benefits to 3 organizations |
| I20240917000991 | NH | Practitioner - Nurse Practitioner | 4789929480 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7792 | CT | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Mass Physician Associates Inc | Single Specialty | Current | Accepting new patients |
| Matrix Medical Plus | Single Specialty | Current |
Accepting new patients |
| Western Mass Physician Associates Inc | Current |
Accepting new patients | |
| Community Care Health Network LLC | Single Specialty | Current |
Accepting new patients |
| Holyoke Medical Center, Inc. | Single Specialty | Current |
Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
1224 Mill St
Bldg B
East Berlin, CT 06023
Phone (860) 406-4894
3 Allied Dr
Dedham, MA 02026
Phone (404) 587-0945
15 Hospital Dr
Ste 50
Holyoke, MA 01040
Phone (413) 534-2826
10 Hospital Dr
Ste 306
Holyoke, MA 01040
Phone (413) 539-6830
575 Beech St
Ste 402
Holyoke, MA 01040
Phone (413) 534-2820
575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570
1 Tara Blvd
Ste 200
Nashua, NH 03062
Phone (603) 242-2296
Interoperability endpoints
- katarzyna.swistak@direct.hmcs.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 7792 | CT | Yes |
Addresses
Primary practice location
13 Church St
East Granby, CT 06026-9406
Mailing address
13 Church St
East Granby, CT 06026-9406
Phone (860) 653-4526
Other providers in East Granby, CT
- Laura Smith
- Sojourn Counseling LLC
- Tatum Strong
- Lance Strzegowski
- Coleen Sutherland
- Katherine Jane Szymaszek
- Jennifer Truong
- Amber C Walker
- Maryann Webster
- Jennifer Williams
All providers in East Granby, CT · Family Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.