Active NPI
Patricia A. Koski, N.P
- Gerontology Nurse Practitioner
- Leominister, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 136954
- Practice address
- 48 Nelson Street
Leominister, MA 01453 - Phone
- (978) 227-5386
- Fax
- (978) 227-5712
- NPI assigned
- Oct 5, 2006
- Last updated
- Jun 12, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 035649-23-05 | NH | |
| Gerontology Nurse Practitioner | 363LG0600X | 136954 | MA | Primary |
Addresses
Primary practice location
48 Nelson Street
Leominister, MA 01453
Mailing address
48 Nelson Street
Leominister, MA 01453
Phone (978) 227-5386
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 797779 | Other | NH | MVP HEALTHCARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
250 Green St
Gardner, MA 01440-1396
Phone (978) 630-6460
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 82.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 136954 | MA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Heywood Memorial Hospital | Current | Accepting new patients | |
| Athol Memorial Hospital Incorporated | Current | Accepting new patients | |
| Henry Heywood Memorial Hospital | Current | Accepting new patients | |
| Heywood Medical Group Inc. | Current | Accepting new patients | |
| Medoptions of Massachusetts LLC | Gerontology | Past | Accepting new patients |
| Accountable Care Practice Services PC | Past | Accepting new patients | |
| Accountable Care Clinical Services PC | Past | Accepting new patients |
Locations
2033 Main St
Athol, MA 01331
Phone (978) 249-1295
242 Green St
Gardner, MA 01440
Phone (978) 258-4734
250 Green St
Gardner, MA 01440
Phone (978) 630-5050
Organizations & group practices 7
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.
-
- General Practice Physician
- Gardner, MA
- NPI 1699762286
-
- Critical Access Hospital
- Athol, MA
- NPI 1336120047
-
dba Heywood Hospital
- General Acute Care Hospital
- Gardner, MA
- NPI 1205823879
-
dba Heywood Hospital
- Psychiatric Hospital Unit
- Gardner, MA
- NPI 1457685299
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1760731137
-
- Hospitalist Physician
- Springfield, MA
- NPI 1710235908
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Athol, MA
- NPI 1336120047
-
dba Heywood Hospital
- General Acute Care Hospital
- Gardner, MA
- NPI 1205823879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591920000000",
"number": "1710073960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 NELSON STREET",
"city": "LEOMINISTER",
"state": "MA",
"postal_code": "01453",
"telephone_number": "978-227-5386",
"fax_number": "978-227-5712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 NELSON STREET",
"city": "LEOMINISTER",
"state": "MA",
"postal_code": "01453",
"telephone_number": "978-227-5386",
"fax_number": "978-227-5712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSKI",
"first_name": "PATRICIA",
"middle_name": "A.",
"credential": "N.P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2020-06-12",
"certification_date": "2020-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NH",
"license": "035649-23-05",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MA",
"license": "136954",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTHCARE",
"identifier": "797779",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leominister, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.