Active NPI 1285660860 Individual Practitioner Female Practitioner

Karen L Krustapentus , APRN, BC

Nurse Practitioner • Enfield, CT

Professional Overview & Biography Verified Profile Summary

Karen Krustapentus, APRN, BC is a registered healthcare professional specializing in Nurse Practitioner in Enfield, CT. Practice services are available at 701 ENFIELD ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

701 Enfield St
Springfield Medical Associates

Enfield, CT 060822961

Telephone 8607416058

Fax 8607416864

Associated Practice Facility / Clinic

🏢 Rosemarie Thompson, Rd Facility NPI 1326144973

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Enfield, CT

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 7.7 Yrs

State Avg: 11.4 Yrs

Regional Practice Density

11 Specialists

Practicing in Enfield, CT (941 Statewide)

Telehealth Adoption Rate

9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

38.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	75	$178.24	$109.73
99213 Established patient office or other outpatient visit, typically 15 minutes	28	27	$116.30	$77.85
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$62.36	$12.64
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$150.00	$112.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	192	132	$178.24	$112.87
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	37	37	$150.00	$115.05
99213 Established patient office or other outpatient visit, typically 15 minutes	33	32	$116.30	$79.43
96127 Assessment of emotional or behavioral problems	30	12	$20.00	$5.00
93000 Routine ekg using at least 12 leads including interpretation and report	22	22	$62.36	$12.69
G0008 Administration of influenza virus vaccine	22	22	$50.00	$30.80
90662 Influenza vaccine split virus, preservative free	20	20	$100.00	$68.54
99497 Advance care planning, first 30 minutes	14	14	$120.00	$73.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	196	149	$178.24	$112.42
99213 Established patient office or other outpatient visit, typically 15 minutes	43	38	$116.30	$79.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	26	26	$150.00	$117.68
93000 Routine ekg using at least 12 leads including interpretation and report	21	21	$62.36	$13.23
81003 Automated urinalysis test	20	17	$25.00	$2.25
G0008 Administration of influenza virus vaccine	16	16	$50.00	$17.86
99496 Transitional care management services for problem of high complexity	13	13	$300.00	$231.02
90662 Influenza vaccine split virus, preservative free	13	13	$100.00	$65.26
99442 Telephone medical discussion with physician, 11-20 minutes	11	11	$46.94	$43.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	168	136	$178.24	$92.81
99213 Established patient office or other outpatient visit, typically 15 minutes	79	65	$116.30	$59.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	34	34	$150.00	$103.76
99443 Telephone medical discussion with physician, 21-30 minutes	23	20	$60.00	$59.87
93000 Routine ekg using at least 12 leads including interpretation and report	20	20	$62.36	$15.33
G0008 Administration of influenza virus vaccine	14	14	$50.00	$17.78
99442 Telephone medical discussion with physician, 11-20 minutes	13	11	$40.00	$39.75
90662 Influenza vaccine split virus, preservative free	12	12	$100.00	$60.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	201	155	$178.24	$96.38
99213 Established patient office or other outpatient visit, typically 15 minutes	75	67	$116.30	$65.91
93000 Routine ekg using at least 12 leads including interpretation and report	17	16	$62.36	$15.19
81003 Automated urinalysis test	15	13	$25.00	$2.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$150.00	$102.93
99496 Transitional care management services for problem of high complexity	11	11	$300.00	$205.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	77	$245.68	$95.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$250.00	$96.69
99213 Established patient office or other outpatient visit, typically 15 minutes	30	28	$173.63	$65.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$250.00	$94.96
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$180.00	$64.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$250.00	$94.21

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CT 000912

(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.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License MA 163873

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross

NP3080 (MA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners

Kara Sawyer , MSN, NP-C

Nurse Practitioner

NPI 1164873600

Master of Science in Nursing, Nurse Practitioner (Certified)

Julie Wondolowski , PA-C

Physician Assistant - Medical

NPI 1205857000

Physician Assistant (Certified)

Kaitlin Pulito , PA-C

Physician Assistant - Medical

NPI 1215245543

Physician Assistant (Certified)

Cailyn Bolduc , PA-C

Physician Assistant - Medical

NPI 1215748355

Physician Assistant (Certified)

Jamie Scott , FNP, BC

Nurse Practitioner

NPI 1376153635

Family Nurse Practitioner, BC

Dr. Howard Ro , MD

Internal Medicine

NPI 1457345605

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 22, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location February 22, 2010

Registered at 701 ENFIELD ST, SPRINGFIELD MEDICAL ASSOCIATES, ENFIELD, CT 060822961 (Tel: 8607416058)

📍

Updated Business Mailing Address February 22, 2010

Registered at 2150 MAIN STREET, SPRINGFIELD, MA 01104 (Tel: 4137395676)

👤

Provider Name / Credentials Updated February 22, 2010

Recorded as KAREN KRUSTAPENTUS, APRN, BC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2010

Nurse Practitioner (License #000912 in CT)

🟢

Initial NPI Registration & Enumeration June 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285660860

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 24, 2006

Last Update: February 22, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2150 Main Street

Springfield, MA 01104

Phone: 4137395676

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.