Individual provider Active NPI

Elizabeth Kate Reale, PA-C

  • Physician Assistant
  • Florence, MA
National Provider Identifier
1548890270
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA7427 Issued in MA
Practice address
10 Main St
Florence, MA 01062-3160
Phone
(413) 586-8910
Fax
(413) 584-7270
NPI assigned
Jan 22, 2020
Last updated
Dec 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA7427 MA Primary

Addresses

Primary practice location

10 Main St
Florence, MA 01062-3160

Mailing address

361 Prospect Ave
West Springfield, MA 01089-4558
Phone (413) 426-4332

Other practice location 1

1515 Allen St
Springfield, MA 01118-1803
Phone (413) 782-7646

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
I20210730000193 MA Practitioner - Physician Assistant 7517360324 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holyoke Medical Center IncGroup PAC ID 2163419383, 202 clinicians

Practice addresses (Care Compare)

575 Beech St
Holyoke, MA 01040-2223

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Holyoke Medical Center, Inc. CurrentSince Sep 1, 2024 Accepting new patients

Locations

575 Beech St
Ste 402
Holyoke, MA 01040
Phone (413) 534-2820

Interoperability endpoints

  • Direct secure messaging: elizabeth.reale@direct.hmcs.masshiway.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1548890270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 PROSPECT AVE",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894558",
            "telephone_number": "413-426-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MAIN ST",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010623160",
            "telephone_number": "413-586-8910",
            "fax_number": "413-584-7270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Allen St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011181803",
            "country_code": "US",
            "telephone_number": "413-782-7646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REALE",
        "first_name": "ELIZABETH",
        "middle_name": "KATE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA7427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, MA

Sources for this page

Verify at the official NPI Registry.