Individual provider Active NPI

Jason Knapczyk, APRN, BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Holyoke, MA
National Provider Identifier
1851456370
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
232563 Issued in MA
Practice address
40 Brightside Dr
Holyoke, MA 01040-4000
Phone
(413) 493-2057
NPI assigned
Dec 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 232563 MA Primary

Addresses

Primary practice location

40 Brightside Dr
Holyoke, MA 01040-4000

Mailing address

15 Sheffield Dr
Easthampton, MA 01027-2542
Phone (413) 527-3725

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
I20060329000511 MA Practitioner - Nurse Practitioner 2163430323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

622 State St
Springfield, MA 01109-4104
Phone (413) 654-1602

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
232563MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Human Development, Inc CurrentSince Jan 17, 2012 Accepting new patients
Center for Human Development, Inc. CurrentSince Jan 17, 2012 Accepting new patients
Brightside Inc PastSince Feb 2, 2025 Accepting new patients

Locations

332 Birnie Ave
Springfield, MA 01107
Phone (413) 439-2189

367 Pine St
Springfield, MA 01105
Phone (413) 737-1426

622 State St
Springfield, MA 01109
Phone (413) 439-1200

246 Park St
West Springfield, MA 01089
Phone (413) 726-3581

Organizations & group practices 3

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851456370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SHEFFIELD DR",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010272542",
            "telephone_number": "413-527-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BRIGHTSIDE DR",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010404000",
            "telephone_number": "413-493-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPCZYK",
        "first_name": "JASON",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "232563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.