Individual provider Active NPI

Claire Joan Antoszewski, PA

  • Physician Assistant
  • Santa Fe, NM
National Provider Identifier
1851572655
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2010-0040 Issued in NM
Practice address
453 1/2 Amado St
Santa Fe, NM 87501-3700
Phone
(203) 249-3002
NPI assigned
Nov 20, 2007
Last updated
Jan 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 012262-1 NY
Physician Assistant 363A00000X PA2010-0040 NM Primary

Addresses

Primary practice location

453 1/2 Amado St
Santa Fe, NM 87501-3700

Mailing address

453 1/2 Amado St
Santa Fe, NM 87501-3700
Phone (203) 249-3002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, AK2 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
I20101217000588 NM Practitioner - Physician Assistant 2264620210 Reassigns benefits to 1 organization
I20250604004067 AK Practitioner - Physician Assistant 2264620210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.24 of 100Reported as group
Quality
98.74
Improvement activities
40
Cost
83.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012262-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Sound Health Corporation Physician Assistant CurrentSince Apr 14, 2025 Accepting new patients
Norton Sound Health Corporation CurrentSince Apr 14, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cantoszewski165329@christushealth.direct-ci.net

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": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1851572655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 1/2 AMADO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875013700",
            "telephone_number": "203-249-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 1/2 AMADO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875013700",
            "telephone_number": "203-249-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTOSZEWSKI",
        "first_name": "CLAIRE",
        "middle_name": "JOAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "012262-1",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2010-0040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.