Individual provider Active NPI

Christina Z Mollitor, NP

  • Adult Health Nurse Practitioner
  • Springfield, MA
National Provider Identifier
1760814198
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN273915 Issued in MA
Practice address
3500 Main St
Suite 201
Springfield, MA 01199-1619
Phone
(413) 794-0900
Fax
(413) 794-2996
NPI assigned
Aug 8, 2013
Last updated
Nov 30, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN273915 MA Primary

Addresses

Primary practice location

3500 Main St
Suite 201
Springfield, MA 01199-1619

Mailing address

280 Chestnut St
2ND FL
Springfield, MA 01199-1619
Phone (413) 794-5700

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
I20131219000770 MA Practitioner - Nurse Practitioner 0446487433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3640 Main St
Suite 302
Springfield, MA 01107-1134
Phone (855) 830-8346

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN273915MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Vein Restoration Ma LLC CurrentSince Feb 20, 2023 Accepting new patients
Center for Vein Restoration Ma LLC CurrentSince Feb 20, 2023 Accepting new patients

Locations

463 Worcester Rd
Ste 205
Framingham, MA 01701
Phone (774) 242-4222

89 Main St
Ste 401
Milford, MA 01757

3640 Main St
Ste 302
Springfield, MA 01107
Phone (413) 732-4242

7 Alfred St
Ste 320
Woburn, MA 01801
Phone (781) 505-8760

Interoperability endpoints

  • Direct secure messaging: christina.mollitorcrnp.p3@direct.cvr.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448841600000",
    "number": "1760814198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT ST",
            "address_2": "2ND FL",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991619",
            "telephone_number": "413-794-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 MAIN ST",
            "address_2": "SUITE 201",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991619",
            "telephone_number": "413-794-0900",
            "fax_number": "413-794-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLITOR",
        "first_name": "CHRISTINA",
        "middle_name": "Z",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2015-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN273915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.