Active NPI
Katherine Lynn Purzycki, APRN
- Family Nurse Practitioner
- Bridgeport, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 7138
- Practice address
- 2800 Main St
Bridgeport, CT 06606-4201 - Phone
- (203) 576-6000
- NPI assigned
- Aug 5, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 7138 | CT | Primary |
Addresses
Primary practice location
2800 Main St
Bridgeport, CT 06606-4201
Mailing address
34 Sport Hill Rd
Easton, CT 06612-2201
Other practice location 1
546 S Broad St Ste 4D
Meriden, CT 06450-6645
Phone (203) 630-1872
Other practice location 2
130 Division St
Derby, CT 06418-1326
Phone (203) 732-1570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7138 | Other | CT | CT APRN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170905001142 | CT | Practitioner - Nurse Practitioner | 1254604713 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579
1290 Silas Deane Hwy
Wethersfield, CT 06109-4337
Phone (860) 827-7695
2800 Main St
Bridgeport, CT 06606-4201
Hospital & facility affiliations
- St Vincent'S Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.42 of 100
- Quality
- 83.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7138 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group Specialists, PLLC | Current | Accepting new patients | |
| Neighborhood Health, Inc. | Family | Current | Accepting new patients |
| Comprehensive Pain and Headache Treatment Centers, LLC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients |
Locations
2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366
130 Division St
Derby, CT 06418
Phone (203) 732-1330
4185 Black Rock Tpke
#201
Fairfield, CT 06824
4185 Black Rock Tpke
Ste 201
Fairfield, CT 06824
546 S Broad St
Ste 4D
Meriden, CT 06450
Phone (203) 238-7642
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
1 Bradley Rd
Ste 301
Woodbridge, CT 06525
Phone (203) 732-1570
Interoperability endpoints
- katherine.robaczynski@xdr.hhchealthdirect.org
Organizations & group practices 4
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.
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
CT
-
- Interventional Pain Medicine Physician
- Derby, CT
- NPI 1467672592
CT
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
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": "1501891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1659896181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 SPORT HILL RD",
"city": "EASTON",
"state": "CT",
"postal_code": "066122201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 MAIN ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066064201",
"telephone_number": "203-576-6000"
}
],
"practiceLocations": [
{
"address_1": "546 S Broad St Ste 4D",
"address_purpose": "LOCATION",
"city": "Meriden",
"state": "CT",
"postal_code": "064506645",
"country_code": "US",
"telephone_number": "203-630-1872",
"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": "203-732-1570",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PURZYCKI",
"first_name": "KATHERINE",
"middle_name": "LYNN",
"name_prefix": "Miss",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-05",
"last_updated": "2024-03-22",
"certification_date": "2024-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "7138",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT APRN LICENSE",
"identifier": "7138",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.