Individual provider Active NPI

Pamela K Kurkul, ARNP

  • Family Nurse Practitioner
  • W Springfield, MA
National Provider Identifier
1972672368
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN142981 Issued in MA
Practice address
928 Riverdale St
W Springfield, MA 01089-4620
Phone
(866) 389-2727
NPI assigned
Nov 7, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN142981 MA Primary

Addresses

Primary practice location

928 Riverdale St
W Springfield, MA 01089-4620

Mailing address

58 Central St
Gardner, MA 01440-1608
Phone (978) 821-8630

Other identifiers 1

IdentifierTypeStateIssuer
142981OtherMAMASS RNNP

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
I20100205000514 MA Practitioner - Nurse Practitioner 0244275519 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heywood Affiliated Medical Group Inc. CurrentSince Apr 1, 2022 Accepting new patients
Athol Memorial Hospital Incorporated Family CurrentSince Apr 1, 2022 Accepting new patients
Heywood Medical Group Inc. Family CurrentSince Apr 1, 2022 Accepting new patients

Locations

2033 Main St
Athol, MA 01331
Phone (978) 249-1295

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

250 Green St
Gardner, MA 01440
Phone (978) 630-5050

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1972672368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 CENTRAL ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014401608",
            "telephone_number": "978-821-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 RIVERDALE ST",
            "city": "W SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894620",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURKUL",
        "first_name": "PAMELA",
        "middle_name": "K",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN142981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS RNNP",
            "identifier": "142981",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in W Springfield, MA

Sources for this page

Verify at the official NPI Registry.