Individual provider Active NPI

Francesca Carlucci, P.A.

  • Medical Physician Assistant
  • Springfield, MA
National Provider Identifier
1508846981
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1571 Issued in MA
Practice address
3640 Main St
Suite 103
Springfield, MA 01107-1145
Phone
(413) 785-5321
Fax
(413) 731-7130
NPI assigned
Jan 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1571 MA Primary

Addresses

Primary practice location

3640 Main St
Suite 103
Springfield, MA 01107-1145

Mailing address

3640 Main St
Suite 103
Springfield, MA 01107-1145
Phone (413) 785-5321

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
I20080613000233 MA Practitioner - Physician Assistant 0547331845 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Riverbend Medical Group, Inc CurrentSince Sep 19, 2016 Accepting new patients
Mwa, PC Past Accepting new patients

Locations

444 Montgomery St
Chicopee, MA 01020
Phone (413) 594-3111

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

395 Southampton Rd
Ste 100
Westfield, MA 01085
Phone (413) 485-4661

Organizations & group practices 4

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1508846981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 MAIN ST",
            "address_2": "SUITE 103",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071145",
            "telephone_number": "413-785-5321",
            "fax_number": "413-731-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 MAIN ST",
            "address_2": "SUITE 103",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071145",
            "telephone_number": "413-785-5321",
            "fax_number": "413-731-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLUCCI",
        "first_name": "FRANCESCA",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "1571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.