Individual provider Active NPI

Kristen N/a Kowal

  • Family Nurse Practitioner
  • Springfield, MA
National Provider Identifier
1679168983
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2260258 Issued in MA
Practice address
1515 Allen St
Springfield, MA 01118-1803
Phone
(413) 783-9114
NPI assigned
Mar 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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 RN2260258 MA Primary

Addresses

Primary practice location

1515 Allen St
Springfield, MA 01118-1803

Mailing address

16 Lincoln St
Chicopee, MA 01020-2519
Phone (413) 297-4001

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
I20210422001995 MA Practitioner - Nurse Practitioner 0648688168 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology and Imaging IncGroup PAC ID 9234110479, 58 clinicians

Practice addresses (Care Compare)

759 Chestnut St
Springfield, MA 01107-1619
Phone (413) 827-7400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology & Imaging Inc CurrentSince Apr 20, 2023 Accepting new patients
Riverbend Medical Group, Inc. CurrentSince Jun 14, 2021 Accepting new patients
Riverbend Medical Group, Inc CurrentSince Jun 14, 2021 Accepting new patients

Locations

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

1515 Allen St
Springfield, MA 01118
Phone (413) 782-0030

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

759 Chestnut St
Springfield, MA 01107
Phone (413) 794-6297

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.

Hospital & facility affiliations 2

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": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1679168983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 LINCOLN ST",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010202519",
            "telephone_number": "413-297-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 ALLEN ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011181803",
            "telephone_number": "413-783-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWAL",
        "first_name": "KRISTEN",
        "middle_name": "N/A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2260258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.