Individual provider Active NPI

Kate Ellen Krempasky, PA-C

  • Medical Physician Assistant
  • Brookfield, CT
National Provider Identifier
1629499157
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
4629 Issued in CT
Practice address
31 Old Route 7
Brookfield, CT 06804-1711
Phone
(475) 253-2599
NPI assigned
Dec 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA056624 PA
Medical Physician Assistant 363AM0700X PA100535 MA
Medical Physician Assistant 363AM0700X 031855 NY
Medical Physician Assistant 363AM0700X 4629 CT Primary

Addresses

Primary practice location

31 Old Route 7
Brookfield, CT 06804-1711

Mailing address

31 Old Route 7
Brookfield, CT 06804-1711
Phone (475) 253-2599

Other practice location 1

601 Park St
Honesdale, PA 18431-1445
Phone (570) 253-8100

Other practice location 2

130 Division St
Derby, CT 06418-1326
Phone (203) 732-1330

Other practice location 3

80 Route 6 Ste 704-705
Baldwin Place, NY 10505-1026
Phone (475) 253-2599

Other practice location 4

55 Hazard Ave
Enfield, CT 06082-3826
Phone (475) 253-2599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CT, MA, NY4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20140401000282 PA Practitioner - Physician Assistant 6002047222 Reassigns benefits to 3 organizations
I20191024000215 CT Practitioner - Physician Assistant 6002047222 Reassigns benefits to 1 organization
I20240510000722 MA Practitioner - Physician Assistant 6002047222 Reassigns benefits to 1 organization
I20240812002456 NY Practitioner - Physician Assistant 6002047222

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

130 Division St
Derby, CT 06418-1326

2928 Main St
Suite 101
Glastonbury, CT 06033-1007

67 Maple Ave
FL 2
Derby, CT 06418-1328

PO Box
Suite 1339
Glastonbury, CT 06033

PO Box
Suite 1339
Glastonbury, CT 06033-6339

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4629CTMDDentist
031855NYMDPharmacist
MA056624PAMDPhysician Assistant
PA100535MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Feb 1, 2017 Accepting new patients
Wayne Memorial Hospital CurrentSince Aug 8, 2024 Accepting new patients
Geisinger Clinic CurrentSince Feb 1, 2017 Accepting new patients
Atlantic Physician Services of Maryland, PC Physician Assistant CurrentSince Aug 1, 2019 Accepting new patients
Tristan Medical PC Current Accepting new patients
WRK Ventures, LLC Past Accepting new patients

Locations

1340 Belmont St
Brockton, MA 02301
Phone (508) 559-5108

100 N Academy Ave
Danville, PA 17822

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

Interoperability endpoints

  • Direct secure messaging: kate.krempasky@direct.wmchc.hie.keyhie.org
  • FHIR API: https://api.platform.athenahealth.com/3082/brand/1/csg/22/fhir/r4

Organizations & group practices 10

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": "1388448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1629499157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 OLD ROUTE 7",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068041711",
            "telephone_number": "475-253-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 OLD ROUTE 7",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068041711",
            "telephone_number": "475-253-2599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Park St",
            "address_purpose": "LOCATION",
            "city": "Honesdale",
            "state": "PA",
            "postal_code": "184311445",
            "country_code": "US",
            "telephone_number": "570-253-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Division St",
            "address_purpose": "LOCATION",
            "city": "Derby",
            "state": "CT",
            "postal_code": "064181326",
            "country_code": "US",
            "telephone_number": "203-732-1330",
            "fax_number": "203-732-1332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Route 6 Ste 704-705",
            "address_purpose": "LOCATION",
            "city": "Baldwin Place",
            "state": "NY",
            "postal_code": "105051026",
            "country_code": "US",
            "telephone_number": "475-253-2599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Hazard Ave",
            "address_purpose": "LOCATION",
            "city": "Enfield",
            "state": "CT",
            "postal_code": "060823826",
            "country_code": "US",
            "telephone_number": "475-253-2599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREMPASKY",
        "first_name": "KATE",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-31",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056624",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA100535",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "031855",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "4629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

Verify at the official NPI Registry.