Individual provider Active NPI

Christin Wolak, PA-C

  • Physician Assistant
  • Springfield, MA
National Provider Identifier
1831499383
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA4076 Issued in MA
Practice address
300 Birnie Ave Ste 201
Springfield, MA 01107-1121
Phone
(413) 785-4666
NPI assigned
Nov 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA4076 MA Primary

Addresses

Primary practice location

300 Birnie Ave Ste 201
Springfield, MA 01107-1121

Mailing address

300 Birnie Ave Ste 201
Springfield, MA 01107-1121
Phone (413) 785-4666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110331000726 CT Practitioner - Physician Assistant 9638352487 Reassigns benefits to 1 organization
I20200317000109 MA Practitioner - Physician Assistant 9638352487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1111 Cromwell Ave
Suite 404
Rocky Hill, CT 06067-3455
Phone (860) 525-4469

277 Middle Tpke W
Manchester, CT 06040-3834
Phone (860) 432-4640

31 Ensign Dr
Avon, CT 06001-3773
Phone (860) 525-4469

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA4076MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Surgical Partners, P.C. Physician Assistant CurrentSince Sep 1, 2025 Accepting new patients
New England Orthopedic Surgeons Physician Assistant CurrentSince Feb 10, 2020 Accepting new patients
Northeast Orthopaedic Alliance PLLC CurrentSince Mar 1, 2024 Accepting new patients
Orthopedic Surgical Partners, PC CurrentSince Sep 1, 2025 Accepting new patients

Locations

31 Ensign Dr
Ste 101
Avon, CT 06001
Phone (860) 751-6039

31 Ensign Dr
Avon, CT 06001
Phone (860) 409-9125

277 Middle Tpke W
Manchester, CT 06040
Phone (860) 432-4640

1111 Cromwell Ave
Ste 404
Rocky Hill, CT 06067

1111 Cromwell Ave
Ste 403
Rocky Hill, CT 06067

5 Founders St
Ste 202
Willimantic, CT 06226
Phone (860) 456-3997

300 Birnie Ave
Ste 201
Springfield, MA 01107
Phone (413) 233-1292

150 Flanders Rd
Westborough, MA 01581
Phone (508) 870-2222

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.

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": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1831499383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BIRNIE AVE STE 201",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071121",
            "telephone_number": "413-785-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BIRNIE AVE STE 201",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071121",
            "telephone_number": "413-785-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLAK",
        "first_name": "CHRISTIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA4076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.