Individual provider Active NPI

Kirsten Piotrowski Sobkowich, APRN

  • Nurse Practitioner
  • Groton, MA
National Provider Identifier
1891431771
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2368610 Issued in MA
Practice address
100 Boston Rd Ste E
Groton, MA 01450-1879
Phone
(978) 448-4300
Fax
(978) 448-4040
NPI assigned
May 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2368610 MA Primary

Addresses

Primary practice location

100 Boston Rd Ste E
Groton, MA 01450-1879

Mailing address

100 Boston Rd Ste E
Groton, MA 01450-1879
Phone (978) 448-4300

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
I20230125000663 MA Practitioner - Nurse Practitioner 7315327335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emerson Practice Associates, IncGroup PAC ID 8123188117, 247 clinicians

Practice addresses (Care Compare)

100 Boston Rd
Groton, MA 01450-1879
Phone (978) 278-3321

133 Old Rd to 9 Acre Cor
Concord, MA 01742-4159
Phone (978) 287-3020

133 Old Rd to Nine Acre Corner
Mary Beth Misserville
Concord, MA 01742-4159

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2368610MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emerson Practice Associates, Inc. Nurse Practitioner CurrentSince Jan 1, 2023 Accepting new patients
Ipsmed LLC Nurse Practitioner PastSince May 1, 2022 Accepting new patients

Locations

133 Ornac
Concord, MA 01742
Phone (978) 287-3000

240 Main St
Groton, MA 01450
Phone (978) 448-4379

100 Boston Rd
Ste 4
Groton, MA 01450
Phone (978) 448-4300

100 Boston Rd
Ste E
Groton, MA 01450
Phone (978) 448-4300

Interoperability endpoints

  • Direct secure messaging: sobkowich.kristen.epa@direct.partners.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.

Hospital & facility affiliations 1

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": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1891431771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BOSTON RD STE E",
            "city": "GROTON",
            "state": "MA",
            "postal_code": "014501879",
            "telephone_number": "978-448-4300",
            "fax_number": "978-448-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BOSTON RD STE E",
            "city": "GROTON",
            "state": "MA",
            "postal_code": "014501879",
            "telephone_number": "978-448-4300",
            "fax_number": "978-448-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBKOWICH",
        "first_name": "KIRSTEN",
        "middle_name": "PIOTROWSKI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2368610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, MA

Sources for this page

Verify at the official NPI Registry.