Individual provider Active NPI

Natalia Kocherovsky, NP

  • Adult Health Nurse Practitioner
  • Boston, MA
National Provider Identifier
1902133390
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
263113 Issued in MA
Practice address
1200 Centre St
Boston, MA 02131-1011
Phone
(617) 363-8000
NPI assigned
Nov 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 263113 MA Primary

Addresses

Primary practice location

1200 Centre St
Boston, MA 02131-1011

Mailing address

176 Boden LN
Natick, MA 01760-3145
Phone (617) 875-7562

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
I20100104000049 MA Practitioner - Nurse Practitioner 1153462858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hebrew Rehabilitation CenterGroup PAC ID 6608855119, 49 clinicians

Practice addresses (Care Compare)

100 Centre St
Brookline, MA 02446-2805
Phone (617) 363-8010

1200 Centre St
Roslindale, MA 02131-1000
Phone (617) 363-8010

7000 Great Meadow Rd
Dedham, MA 02026-4090
Phone (617) 363-8010

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hebrew Rehabilitation Center CurrentSince Oct 22, 2009 Accepting new patients
Hebrew Rehabilitation Center CurrentSince Oct 22, 2009 Accepting new patients

Locations

1200 Centre St
Roslindale, MA 02131
Phone (617) 363-8000

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1902133390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 BODEN LN",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603145",
            "telephone_number": "617-875-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CENTRE ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021311011",
            "telephone_number": "617-363-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHEROVSKY",
        "first_name": "NATALIA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-05",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "263113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.