Katherine Pacheco, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

214357 Issued in MA

Practice address

110 Liberty St
Brockton, MA 02301

Phone

(508) 894-0400

Fax

(508) 894-0617

NPI assigned

Jun 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

University of Massachusetts Medical School, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Revere Medical of Massachusetts PCGroup PAC ID 0749715795, 113 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Brockton Vna Home health agency, Brockton, MA, CCN 227006
• Old Colony Hospice, Inc Hospice, W Bridgewater, MA, CCN 221514
• Good Samaritan Medical Center Hospital, Brockton, MA, CCN 220111
• Brown University Health Morton Hospital Hospital, Taunton, MA, CCN 220073
• Signature Healthcare Brockton Hospital Hospital, Brockton, MA, CCN 220052
• South Shore Hospital Hospital, South Weymouth, MA, CCN 220100

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katherine.pacheco.1@32866.direct.athenahealth.com

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.

• Revere Medical of Massachusetts, PC

  • Internal Medicine Physician
  • Brockton, MA
  • NPI 1336976539
  Medicare reassignment Care Compare group NPD
• Steward Medical Group, Inc

  • Specialist
  • Watertown, MA
  • NPI 1629398219
  Medicare reassignment NPD
• Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
  • NPI 1356654495
  NPD
• Compass Medical PC

  • Family Medicine Physician
  • So Weymouth, MA
  • NPI 1356462964
  NPD (past)
• Compass Medical PC

  • General Practice Physician
  • East Bridgewater, MA
  • NPI 1962437962
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Boston Medical Center - South Corporation

  • General Acute Care Hospital
  • Brockton, MA
  • NPI 1871329110
  Care Compare affiliation
• Brockton Hospital, Inc.

  • General Acute Care Hospital
  • Brockton, MA
  • NPI 1063431286
  Care Compare affiliation
• Brockton Visiting Nurse Association

  • Home Health Agency
  • Brockton, MA
  • NPI 1043213275
  Care Compare affiliation
• Lifespan of Massachusetts - Taunton Inc

  • General Acute Care Hospital
  • Taunton, MA
  • NPI 1609603877
  Care Compare affiliation
• Old Colony Hospice Inc

  • Family Nurse Practitioner
  • W Bridgewater, MA
  • NPI 1144330002

  Hospice

  Care Compare affiliation
• South Shore Hospital Inc.

  • General Acute Care Hospital
  • South Weymouth, MA
  • NPI 1134227606
  Care Compare affiliation

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1821025719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LIBERTY ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015521",
            "telephone_number": "508-894-0400",
            "fax_number": "508-894-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LIBERTY ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02301",
            "telephone_number": "508-894-0400",
            "fax_number": "508-894-0617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Bristol Dr",
            "address_purpose": "LOCATION",
            "city": "South Easton",
            "state": "MA",
            "postal_code": "023751100",
            "country_code": "US",
            "telephone_number": "508-565-7600",
            "fax_number": "508-565-7605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "KATHERINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "214357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "UX9190",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Koralys Ozuna, MS
• P.J.See Inc.
• Brandi Danielle Pace
• Gary Michael Pace, PH.D
• Gabriela Pacheco
• Rachel Danielle Pacheco
• George Padilla, MD
• Samantha Padilla
• Joan Elizabeth Padrenoss, PTA
• Justine Padula

• Nurse Practitioner in Brockton, MA
• Providers in Brockton, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.

Verify at the official NPI Registry.