Individual provider Active NPI

Patricia A Mertes, RN, MS, FNP

  • Family Nurse Practitioner
  • Chicopee, MA
National Provider Identifier
1629048038
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
160300 Issued in MA
Practice address
203 Exchange St
Chicopee, MA 01013-1246
Phone
(413) 420-2222
Fax
(413) 592-2324
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 160300 MA Primary

Addresses

Primary practice location

203 Exchange St
Chicopee, MA 01013-1246

Mailing address

PO Box 6260
230 Maple St
Holyoke, MA 01041-6260
Phone (413) 420-2200

Other identifiers 1

IdentifierTypeStateIssuer
NP2139OtherMABLUE CROSS BLUE SHIELD

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
I20040317000444 MA Practitioner - Nurse Practitioner 6406746197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical and Support Options, IncGroup PAC ID 6608835350, 103 clinicians

Practice addresses (Care Compare)

1 Arch PL
Greenfield, MA 01301-2457
Phone (413) 774-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
160300MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical & Support Options, Inc CurrentSince Jun 7, 2021 Accepting new patients
Holyoke Health Center Inc. Past Accepting new patients
Holyoke Health Center Inc. Past Accepting new patients

Locations

1 Arch Pl
Greenfield, MA 01301
Phone (413) 773-1000

130 Maple St
Ste 325
Springfield, MA 01103

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1629048038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6260",
            "address_2": "230 MAPLE ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010416260",
            "telephone_number": "413-420-2200",
            "fax_number": "413-420-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 EXCHANGE ST",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010131246",
            "telephone_number": "413-420-2222",
            "fax_number": "413-592-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERTES",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "RN, MS, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "160300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NP2139",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicopee, MA

Sources for this page

Verify at the official NPI Registry.