Active NPI
Christopher Jason Katakowski, CRNP
- Nurse Practitioner
- Stuart, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN9459055
- Practice address
- 1050 SE Monterey Rd Ste 400
Stuart, FL 34994-4512 - Phone
- (772) 288-2400
- NPI assigned
- Jan 20, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP008792 | PA | |
| Nurse Practitioner | 363L00000X | APRN9459055 | FL | Primary |
Addresses
Primary practice location
1050 SE Monterey Rd Ste 400
Stuart, FL 34994-4512
Mailing address
1050 SE Monterey Rd Ste 400
Stuart, FL 34994-4512
Phone (772) 288-2400
Other practice location 1
9401 SW Discovery Way Ste 201
Port Saint Lucie, FL 34987-2381
Phone (772) 288-2400
Other practice location 2
1050 SE Monterey Rd Ste 204
Stuart, FL 34994-4512
Phone (772) 288-2400
Other practice location 3
450 Hillcrest Avenue
Grove City, PA 16127-1708
Phone (724) 264-4864
Other practice location 4
9401 SW Discovery Way Ste 101
Port Saint Lucie, FL 34987-2381
Phone (772) 288-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841874 | Other | HIGHMARK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1050 SE Monterey Rd
Stuart, FL 34994-4512
Phone (772) 288-2400
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- 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 |
|---|---|---|---|
| APRN9459055 | FL | MD | Nurse Practitioner |
| SP008792 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Florida Orthopaedics & Sports Medicine, PA | Current | Accepting new patients | |
| South Florida Orthopaedics & Sports Medicine, PA | Current | Accepting new patients | |
| South Florida Orthopaedics & Sports Medicine,PA | Past | Accepting new patients | |
| Allegheny Clinic | Past | Accepting new patients |
Locations
1881 SE Tiffany Ave
Ste 202
Port St Lucie, FL 34952
9401 SW Discovery Way
Ste 201
Port St Lucie, FL 34987
9401 SW Discovery Way
Ste 101
Port St Lucie, FL 34987
Phone (772) 261-6824
1050 SE Monterey Rd
Ste 400
Stuart, FL 34994
1050 SE Monterey Rd
Ste 204
Stuart, FL 34994
Phone (772) 781-5960
Interoperability endpoints
- ckatakowski20145@jupitermedicalcenter.direct-ci.com
- christopher.katakowskiaprn.p1@direct.southflaortho.nextgenshare.com
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.
-
- Orthopaedic Surgery Physician
- Stuart, FL
- NPI 1841253374
-
- Durable Medical Equipment & Medical Supplies
- Port St Lucie, FL
- NPI 1609763440
-
- Durable Medical Equipment & Medical Supplies
- Stuart, FL
- NPI 1639220700
-
dba AHN Primary Care Mobile Clinic
- Primary Care Clinic/Center
- Pittsburgh, PA
- NPI 1215752548
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Florida Coast Medical Center
- General Acute Care Hospital
- Port St Lucie, FL
- NPI 1003618406
-
dba HCA Florida St. Lucie Hospital
- General Acute Care Hospital
- Port St Lucie, FL
- NPI 1538115696
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581897600000",
"number": "1760462212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 SE MONTEREY RD STE 400",
"city": "STUART",
"state": "FL",
"postal_code": "349944512",
"telephone_number": "772-288-2400",
"fax_number": "772-237-0981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 SE MONTEREY RD STE 400",
"city": "STUART",
"state": "FL",
"postal_code": "349944512",
"telephone_number": "772-288-2400"
}
],
"practiceLocations": [
{
"address_1": "9401 SW Discovery Way Ste 201",
"address_purpose": "LOCATION",
"city": "Port Saint Lucie",
"state": "FL",
"postal_code": "349872381",
"country_code": "US",
"telephone_number": "772-288-2400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1050 SE Monterey Rd Ste 204",
"address_purpose": "LOCATION",
"city": "Stuart",
"state": "FL",
"postal_code": "349944512",
"country_code": "US",
"telephone_number": "772-288-2400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "450 Hillcrest Avenue",
"address_purpose": "LOCATION",
"city": "Grove City",
"state": "PA",
"postal_code": "161271708",
"country_code": "US",
"telephone_number": "724-264-4864",
"fax_number": "724-264-4865",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9401 SW Discovery Way Ste 101",
"address_purpose": "LOCATION",
"city": "Port Saint Lucie",
"state": "FL",
"postal_code": "349872381",
"country_code": "US",
"telephone_number": "772-288-2400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KATAKOWSKI",
"first_name": "CHRISTOPHER",
"middle_name": "JASON",
"name_prefix": "Mr.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP008792",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN9459055",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "1841874",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.