Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Damaris W Kongo, REGISTEREDNURSE

Individual provider Community Health Registered Nurse · NPI 1376114009

Damaris W Kongo, REGISTEREDNURSE is a Nurse Practitioner in Ludlow, Massachusetts. Qualified in 2011, 15 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
15
Licensed in
MA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

39 Allison Ln
Ludlow, MA 01056-9201
Phone: (413) 530-7318
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Registered Nurse (primary) Taxonomy 163WC1500X · Licence RN270089 (MA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence RN270089 (MA)

Record details

NPI number1376114009
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorYes
NPI enumeratedJuly 3, 2021
Last updated in NPPESJanuary 27, 2024
Certification dateJanuary 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients89
Services billed 310 a service is one billed item, such as a visit, a test or a procedure
Average patient age57

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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