Individual provider Active NPI

Julie Kaetzer

  • Family Nurse Practitioner
  • West Bridgewater, MA
National Provider Identifier
1831846310
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2308697 Issued in MA
Practice address
321 Manley St
West Bridgewater, MA 02379-1022
Phone
(718) 318-7333
NPI assigned
Mar 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2308697 MA
Family Nurse Practitioner 363LF0000X RN2308697 MA Primary

Addresses

Primary practice location

321 Manley St
West Bridgewater, MA 02379-1022

Mailing address

40 Edrich Rd
Bridgewater, MA 02324-1978
Phone (508) 631-4306

Other practice location 1

40 Edrich Rd
Bridgewater, MA 02324-1978
Phone (508) 631-4306

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
I20230606003117 MA Practitioner - Nurse Practitioner 0749647717 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Old Colony Hospice Inc. CurrentSince Apr 30, 2023 Accepting new patients
Old Colony Hospice Inc Family CurrentSince Apr 6, 2023 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Jun 1, 2024 Accepting new patients

Locations

450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061

321 Manley St
West Bridgewater, MA 02379
Phone (781) 341-4145

Interoperability endpoints

  • Direct secure messaging: kaetzer.julie.dfci@direct.partners.masshiway.net

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, 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": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1831846310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 EDRICH RD",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023241978",
            "telephone_number": "508-631-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MANLEY ST",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791022",
            "telephone_number": "718-318-7333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Edrich Rd",
            "address_purpose": "LOCATION",
            "city": "Bridgewater",
            "state": "MA",
            "postal_code": "023241978",
            "country_code": "US",
            "telephone_number": "508-631-4306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAETZER",
        "first_name": "JULIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-04",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2308697",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2308697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bridgewater, MA

Sources for this page

Verify at the official NPI Registry.