Active NPI
Karen Lynn Bugaj, DNP, CRNP
- Family Nurse Practitioner
- Brockton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2334539
- Practice address
- 110 Liberty St
Brockton, MA 02301-5674 - Phone
- (508) 894-0400
- Fax
- (508) 894-0412
- NPI assigned
- Nov 9, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP005250B | PA | |
| Family Nurse Practitioner | 363LF0000X | 332390-1 | NY | |
| Family Nurse Practitioner | 363LF0000X | RN2334539 | MA | Primary |
Addresses
Primary practice location
110 Liberty St
Brockton, MA 02301-5674
Mailing address
110 Liberty St
Brockton, MA 02301-5674
Phone (508) 894-0400
Other practice location 1
606 W 2nd St
Erie, PA 16507-1111
Phone (814) 451-6700 ext. 7854
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Liberty St
Brockton, MA 02301-5521
Phone (508) 894-0400
Hospital & facility affiliations
- Brockton Vna
- Signature Healthcare Brockton Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.83 of 100
- Quality
- 70.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 332390-1 | NY | MD | Family Nurse Practitioner |
| SP005250B | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signature Healthcare Medical Group Inc | Current | Accepting new patients | |
| County of Erie | Past | Accepting new patients |
Locations
110 Liberty St
Brockton, MA 02301
680 Centre St
Brockton, MA 02302
Phone (508) 941-7400
110 Liberty St
Ste 2A
Brockton, MA 02301
Phone (508) 894-0766
Interoperability endpoints
- karen.bugaj@direct.signature.masshiway.net
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1508804949
-
- Public Health or Welfare Agency
- Erie, PA
- NPI 1235355793
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1063431286
-
- Home Health Agency
- Brockton, MA
- NPI 1043213275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1871894733",
"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": "023015674",
"telephone_number": "508-894-0400",
"fax_number": "508-894-0412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 LIBERTY ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023015674",
"telephone_number": "508-894-0400",
"fax_number": "508-894-0412"
}
],
"practiceLocations": [
{
"address_1": "606 W 2nd St",
"address_purpose": "LOCATION",
"city": "Erie",
"state": "PA",
"postal_code": "165071111",
"country_code": "US",
"telephone_number": "814-451-6700 x7854",
"fax_number": "814-451-6767",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUGAJ",
"first_name": "KAREN",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DNP, CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-09",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP005250B",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "332390-1",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2334539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.