MS. REGINA M KOWAL NP
NPI 1164799482
Nurse Practitioner - Family in Amherst, MA

Active since December 01, 2011PECOS EnrolledAccepts Medicare Assignment
165 UNIVERSITY DR, AMHERST, MA 01002(413) 256-0421 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 21, 2020, Apr 9, 2020 (2 updates tracked since 2020).

About Ms. Regina M Kowal Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. REGINA M KOWAL NP (NPI 1164799482) is an individual family provider in Amherst, Massachusetts, licensed in Massachusetts (RN213169) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS, is affiliated with Baystate Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1164799482
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. REGINA M KOWALCredential: NP
Location Address165 UNIVERSITY DRAmherst, MA 01002-8900
Mailing Address165 University DrAmherst, MA 01002-8900 · (413) 256-0421
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 1, 2011
Last NPPES UpdateApril 21, 20232 updates tracked since enumeration
NPPES CertifiedApril 21, 2023
✔ NPI 1164799482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in MA · RN213169✔ Licensed in KY · 3013950✔ Licensed in PA · RN723616✔ Licensed in MA · 213169
165 UNIVERSITY DR, Amherst, MA 01002

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Regina M Kowal Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507028867
PECOS Enrollment IDI20200520001038
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Regina Kowal reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
424 RUSSELL ST
Hadley, MA 01035
  • Reassigned Medicare billing, Massachusetts enrollment
  • 135 clinicians in this Medicare group
Family
67D MAIN ST
Medway, MA 02053
  • Reassigned Medicare billing, Massachusetts enrollment
  • 186 clinicians in this Medicare group
Physical Medicine & Rehabilitation
1300 WINDLASS DR
Middle River, MD 21220
  • Reassigned Medicare billing, Massachusetts enrollment
  • 37 clinicians in this Medicare group
Nurse Practitioner
200 OCEANGATE STE 100
Long Beach, CA 90802
  • Reassigned Medicare billing, Massachusetts and Ohio enrollments
  • 61 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This 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.
20 services20 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
16 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01002 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
165 UNIVERSITY DR
AMHERST, MA 01002
Nurse Practitioner (Family)
165 UNIVERSITY DR
AMHERST, MA 01002
Nurse Practitioner (Family)
165 UNIVERSITY DR
AMHERST, MA 01002
Nurse Practitioner (Family)
165 UNIVERSITY DR
AMHERST, MA 01002
Nurse Practitioner (Family)
165 UNIVERSITY DR
AMHERST, MA 01002
Pharmacist
165 UNIVERSITY DR
AMHERST, MA 01002
Nurse Practitioner (Family)
165 UNIVERSITY DR
AMHERST, MA 01002
Pharmacy
165 UNIVERSITY DR
AMHERST, MA 01002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Regina Kowal's NPI number?

The NPI number for Regina Kowal is 1164799482. It was assigned to this individual provider in the NPPES registry on December 1, 2011.

Where is Regina Kowal located?

Regina Kowal practices at 165 University Dr, Amherst, MA 01002. The listed phone number is (413) 256-0421.

What is Regina Kowal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Regina Kowal enrolled in Medicare?

Yes. Regina Kowal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Regina Kowal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Regina Kowal reassigns Medicare benefits to 4 organizations: Convenientmd - Ffs Uc LLC (Hadley, MA), Minuteclinic Diagnostic Of Massachusetts LLC (Medway, MA), Comprehensive Rehab Consultants PLLC (Middle River, MD) and Molina Care Connections, LLC. (Long Beach, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Regina Kowal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Regina Kowal affiliated with any hospitals?

According to CMS data, Regina Kowal is affiliated with Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Regina Kowal was last updated on April 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.