KATHRYN A PROULX CNP, PH.D.
NPI 1376621615
Nurse Practitioner - Psychiatric/Mental Health in Springfield, MA

Q: What is Kathryn Proulx's NPI number?

The NPI number for Kathryn Proulx is 1376621615. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Q: What is Kathryn Proulx's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kathryn Proulx was last updated on December 16, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 02, 2006PECOS Enrolled

1049 MAIN ST, SPRINGFIELD, MA 01103(413) 739-1100(413) 304-4666 Get Directions Write a Review

NPPES record last updated: December 16, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kathryn A Proulx Cnp, Ph.d. NPPES

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

KATHRYN A PROULX CNP, PH.D. (NPI 1376621615) is an individual psychiatric/mental health provider in Springfield, Massachusetts, licensed in Connecticut (001162) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376621615

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKATHRYN A PROULXCredential: CNP, PH.D.

Location Address1049 MAIN STSpringfield, MA 01103-2114

Mailing Address1049 Main StSpringfield, MA 01103-2114 · (413) 739-1100 · Fax (413) 304-4666

Phone(413) 739-1100

Fax(413) 304-4666

Sole ProprietorNo

Enumeration DateNovember 2, 2006

Last NPPES UpdateDecember 16, 2016

✔ NPI 1376621615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CT · 001162

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 127180 (MA)

1049 MAIN ST, Springfield, MA 01103

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Other Identifiers 2

Medicaid110028120MA

Medicare UPINM21172MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn A Proulx Cnp, Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01103 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.

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Other Providers at the Same Location NPPES 20

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

ISMAEL JOEL CINTRON GONZALEZ LCSW

Social Worker (Clinical)