Individual provider Active NPI

Karin Rondeau, NP

  • Family Nurse Practitioner
  • Holden, MA
National Provider Identifier
1528509130
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2282734 Issued in MA
Practice address
64 Boyden Rd
Holden, MA 01520-2570
Phone
(508) 829-6765
Fax
(508) 829-1884
NPI assigned
Mar 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8227 CT
Family Nurse Practitioner 363LF0000X APRN01550 RI
Family Nurse Practitioner 363LF0000X RN2282734 MA Primary

Addresses

Primary practice location

64 Boyden Rd
Holden, MA 01520-2570

Mailing address

64 Boyden Rd
Holden, MA 01520-2570
Phone (508) 829-6765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190607000593 CT Practitioner - Nurse Practitioner 7517242704 Reassigns benefits to 1 organization
I20201223002371 MA Practitioner - Nurse Practitioner 7517242704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reliant Medical Group IncGroup PAC ID 5597755322, 638 clinicians

Practice addresses (Care Compare)

64 Boyden Rd
Holden, MA 01520-2570
Phone (508) 829-6765

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN01550RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Day Kimball Medical Group Inc CurrentSince Apr 6, 2019 Accepting new patients
Reliant Medical Group, Inc CurrentSince Jan 19, 2021 Accepting new patients
Reliant Medical Group, Inc Past Accepting new patients

Locations

132 Westminster Rd
Canterbury, CT 06331
Phone (860) 546-2225

612 Hartford Pike
Dayville, CT 06241
Phone (860) 779-0284

320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331

320 Pomfret St
#2
Putnam, CT 06260

64 Boyden Rd
Holden, MA 01520
Phone (508) 829-6765

5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300

Interoperability endpoints

  • Direct secure messaging: karin.rondeau@982486251274244.direct.elationemr.com
  • Direct secure messaging: karin.rondeau.npi1528509130.reliant@direct.optumcare.masshiway.net
  • FHIR API: https://api.platform.athenahealth.com/1694/brand/19/csg/48/fhir/r4

Organizations & group practices 3

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": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1528509130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 BOYDEN RD",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015202570",
            "telephone_number": "508-829-6765",
            "fax_number": "508-829-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 BOYDEN RD",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015202570",
            "telephone_number": "508-829-6765",
            "fax_number": "508-829-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONDEAU",
        "first_name": "KARIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-15",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8227",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN01550",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2282734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holden, MA

Sources for this page

Verify at the official NPI Registry.