Michelle Marie Klimarchuk, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN2301023 Issued in MA

Practice address

27 Centennial Dr
Peabody, MA 01960-7901

Phone

(978) 531-7677

NPI assigned

Jul 15, 2021

Last updated

Mar 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: klimarchuk.michelle.impns@direct.partners.masshiway.net

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.

• Internal Medicine Physicians of the North Shore LLC

  • Internal Medicine Physician
  • Peabody, MA
  • NPI 1851498166
  NPD

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1598337784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CENTENNIAL DR",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607901",
            "telephone_number": "978-531-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CENTENNIAL DR",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607901",
            "telephone_number": "978-531-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIMARCHUK",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2301023",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NH",
            "license": "082328-21",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2301023",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arjun Kalmady Kini, DMD
• Evan Kittredge
• Phyllis M Kizner
• Heather Patterson Klee, MSW
• Donald L Kleykamp, MD
• Scott M. Kline, D.C.
• Philip Anton Kobus, PT, DPT
• Brianna L Kodis, MS CCC-SLP
• Susan Koenig, PT
• Yanping Kong, M.D.

• Family Nurse Practitioner in Peabody, MA
• Providers in Peabody, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.