Iwona Prabucka-Davis, DNP FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN2276408 Issued in MA

Practice address

489 Washington St Ste 202
Auburn, MA 01501-5709

Phone

(508) 796-9211

Fax

(508) 286-6106

NPI assigned

Apr 1, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: iwonadavis@auburnprimary.kareodirect.com

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.

• Auburn Primary Care and Aesthetics

  • Primary Care Nurse Practitioner
  • Auburn, MA
  • NPI 1316566888

  MA

  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Umass Memorial Health-Harrington Hospital Inc

  • General Acute Care Hospital
  • Southbridge, MA
  • NPI 1790780047

  Hospital

  Care Compare affiliation
• Umass Memorial Medical Center, Inc.

  • General Acute Care Hospital
  • Worcester, MA
  • NPI 1831151455

  Hospital

  Care Compare affiliation
• VHS Acquisition Subsidiary Number 7 Inc

  • General Acute Care Hospital
  • Worcester, MA
  • NPI 1538131214

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Auburn Primary Care and Aesthetics 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Vincent Hospital Hospital, Worcester, MA, CCN 220176
• Umass Memorial Health - Harrington Hospital Hospital, Southbridge, MA, CCN 220019
• Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1518596642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 WASHINGTON ST STE 202",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015015709",
            "telephone_number": "508-796-9211",
            "fax_number": "508-286-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 WASHINGTON ST STE 202",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015015709",
            "telephone_number": "508-796-9211",
            "fax_number": "508-286-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRABUCKA-DAVIS",
        "first_name": "IWONA",
        "name_prefix": "Dr.",
        "credential": "DNP FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2024-04-11",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2276408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTRATION IN NURSING",
            "identifier": "RN2276408",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "www.kareo.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "address_1": "489 Washington St Ste 202",
            "city": "Auburn",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015015709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Pittman, DPT
• Olivia Elizabeth Plante, LCSW
• John C Platt, MD
• Jessica Lauren Plummer, CPNP
• Georgios P Poniros, DPM
• Premier Health Systems Inc
• Prime Veteran Assessment Services LLC
• Oksana Primmer, MD
• Nancy Prostak
• Jayme A Protano

• All providers in Auburn, MA
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.