MS. KAREN L KRUSTAPENTUS APRN, BC
NPI 1285660860
Nurse Practitioner in Enfield, CT
NPI Status: Active since June 24, 2006
Contact Information
701 ENFIELD ST
SPRINGFIELD MEDICAL ASSOCIATES
ENFIELD, CT
ZIP 06082
Phone: (860) 741-6058
Fax: (860) 741-6864
- Individual
- Female
- Nurse Practitioner
- PECOS Enrolled
About KAREN KRUSTAPENTUS
This page provides the complete NPI Profile along with additional information for Karen Krustapentus, a provider established in Enfield, Connecticut with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1285660860 assigned on June 2006. The practitioner's primary taxonomy code is 363L00000X with license number 000912 (CT). The provider is registered as an individual and her NPI record was last updated 16 years ago.
- NPI
- 1285660860
- Provider Name
- MS. KAREN L KRUSTAPENTUS APRN, BC
- Other Name
- KAREN LARSON
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 701 ENFIELD ST SPRINGFIELD MEDICAL ASSOCIATES ENFIELD, CT 06082
- Location Phone
- (860) 741-6058
- Location Fax
- (860) 741-6864
- Mailing Address
- 2150 MAIN STREET SPRINGFIELD, MA 01104
- Mailing Phone
- (413) 739-5676
- Mailing Fax
- (860) 741-6864
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-24-2006
- Last Update Date
- 02-22-2010
- Code Navigator
A nurse practitioner (NP) like Karen Krustapentus is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 000912
- License State
- CT
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 163873 (MA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
P25531 | MEDICARE UPIN (02) | ||
NP3080 | MEDICARE ID-TYPE UNSPECIFIED (04) | MA | |
P00456576 | MEDICARE PIN (08) | ||
NP3080 | OTHER (01) | MA | BLUE CROSS |
UX6474 | MEDICARE PIN (08) | MA |
Medicare Participation & PECOS Enrollment Status
Karen Krustapentus is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Administration of influenza virus vaccine
Advance care planning, first 30 minutes
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
Assessment of emotional or behavioral problems
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Influenza vaccine split virus, preservative free
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
This service was performed 22 times for 22 patientsAdvance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
This service was performed 14 times for 14 patientsAn annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
This service was performed 37 times for 37 patientsAssessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
This service was performed 30 times for 12 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 33 times for 32 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 192 times for 132 patientsThe Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
This service was performed 20 times for 20 patientsAn electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
This service was performed 22 times for 22 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 06082 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $93.86
- Minimum New Patient Price $60.82
- Maximum New Patient Price $183.1
- Average New Patient Copayment $23.46
- Minimum New Patient Copayment $15.2
- Maximum New Patient Copayment $45.77
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $106.68
- Minimum Established Patient Price $19.76
- Maximum Established Patient Price $149.26
- Average Established Patient Copayment $26.67
- Minimum Established Patient Copayment $4.94
- Maximum Established Patient Copayment $37.31
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 8 | 5 | 6 | 6 | 0 | 8 | 6 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 16 | 5 | 12 | 6 | 0 | 8 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 1 + 6 + 5 + 1 + 2 + 6 + 0 + 8 + 1 + 2 + 24 = 60 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1285660860 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1457345605 | DR. HOWARD D RO M.D. Individual | Internal Medicine | 701 ENFIELD ST ENFIELD, CT 06082 (860) 741-6058 |
1861434607 | DARREN STEPHEN O'NEILL M.D. Individual | Internal Medicine | 701 ENFIELD ST ENFIELD, CT 06082 (860) 741-6058 |
1508894676 | MARY F. ADLER M.D. Individual | Internal Medicine | 701 ENFIELD ST ENFIELD, CT 06082 (860) 741-6058 |
1205857000 | JULIE M WONDOLOWSKI PA-C Individual | Physician Assistant (Medical) | 701 ENFIELD ST ENFIELD, CT 06082 (860) 741-6058 |
1326144973 | ROSEMARIE THOMPSON, RD Organization | Dietitian, Registered | 701 ENFIELD ST SUITE 202 ENFIELD, CT 06082 (860) 741-3222 |
1346346996 | ROSEMARIE THOMPSON RD Individual | Dietitian, Registered | 701 ENFIELD ST SUITE 202 ENFIELD, CT 06082 (860) 741-3222 |
1023271970 | SPINE DYNAMICS, INC. Organization | Chiropractor | 701 ENFIELD ST SUITE 170 ENFIELD, CT 06082 (860) 741-2187 |
1164873600 | KARA MARIE SAWYER MSN, NP-C Individual | Nurse Practitioner | 701 ENFIELD ST ENFIELD, CT 06082 (860) 741-6058 |
1205214970 | PIONEER VALLEY CARDIOLOGY ASSOCIATES ,INC. Organization | Internal Medicine (Cardiovascular Disease) | 701 ENFIELD ST ENFIELD, CT 06082 (860) 741-6058 |
1972795102 | DR. IZABELA KRAKOWIAK- COLASACCO D.O. Individual | Internal Medicine | 701 ENFIELD ST ENFIELD, CT 06082 (860) 741-6058 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285660860, enumerated in the NPI registry as an "individual" on June 24, 2006
The provider is located at 701 Enfield St Springfield Medical Associates Enfield, Ct 06082 and the phone number is (860) 741-6058
The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $93.86 with an average copayment of $23.46 for new patient appointments. Established patients should expect a typical charge of $106.68 and an average copayment of 26.67. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Administration of influenza virus vaccine, Advance care planning, first 30 minutes, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Assessment of emotional or behavioral problems, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Influenza vaccine split virus, preservative free and Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report.
This NPI record was last updated on June 24, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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