MS. KATHERINE M. KRAFSIG NP
NPI 1497943708
Nurse Practitioner in Worcester, MA

Active since October 11, 2007PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
119 BELMONT ST, DEPARTMENT OF HOSPITAL MEDICINE, WORCESTER, MA 01605(508) 334-8515(508) 334-6490 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Katherine M. Krafsig Np NPPES

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

MS. KATHERINE M. KRAFSIG NP (NPI 1497943708) is an individual nurse practitioner in Worcester, Massachusetts, licensed in Massachusetts (RN268033) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1497943708
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. KATHERINE M. KRAFSIGCredential: NP
Location Address119 BELMONT ST, DEPARTMENT OF HOSPITAL MEDICINEWorcester, MA 01605-2903
Mailing AddressPo Box 415348Boston, MA 02241-0001 · (800) 225-8885 · Fax (508) 334-1977
Fax(508) 334-6490
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 11, 2007
Last NPPES UpdateNovember 4, 2020
NPPES CertifiedNovember 4, 2020
NPI 1497943708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MA · RN268033
Definition
(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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN268033 (MA)
119 BELMONT ST, Worcester, MA 01605

Other Identifiers 1

Medicaid0716651MA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Katherine M. Krafsig 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 ID6901988211
PECOS Enrollment IDI20080125000229
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
183 services28 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
50 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
26 services20 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
16 services16 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

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.

Family Medicine
119 BELMONT ST
WORCESTER, MA 01605
Internal Medicine (Rheumatology)
119 BELMONT ST
WORCESTER, MA 01605
Nurse Practitioner (Neonatal, Critical Care)
119 BELMONT ST
WORCESTER, MA 01605
Obstetrics & Gynecology (Maternal & Fetal Medicine)
119 BELMONT ST
WORCESTER, MA 01605
Nurse Practitioner
119 BELMONT ST
WORCESTER, MA 01605
Social Worker
119 BELMONT ST
WORCESTER, MA 01605
Orthopaedic Surgery
119 BELMONT ST
WORCESTER, MA 01605
Physician Assistant
119 BELMONT ST
WORCESTER, MA 01605

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 Katherine Krafsig's NPI number?

The NPI number for Katherine Krafsig is 1497943708. It was assigned to this individual provider in the NPPES registry on October 11, 2007.

Where is Katherine Krafsig located?

Katherine Krafsig practices at 119 Belmont St Department Of Hospital Medicine, Worcester, MA 01605. The listed phone number is (508) 334-8515.

What is Katherine Krafsig's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Katherine Krafsig enrolled in Medicare?

Yes. Katherine Krafsig 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.

What insurance does Katherine Krafsig accept?

Health plans from Anthem Blue Cross and Blue Shield list Katherine Krafsig as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Katherine Krafsig affiliated with any hospitals?

According to CMS data, Katherine Krafsig is affiliated with Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Katherine Krafsig was last updated on November 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.