Individual provider Active NPI

Kristina Marie Anderson, F.N.P.-C

  • Family Nurse Practitioner
  • Quincy, MA
National Provider Identifier
1003299090
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2283838 Issued in MA
Practice address
104 Quarry St Ste 2
Quincy, MA 02169-4174
Phone
(617) 472-6764
Fax
(617) 770-9933
NPI assigned
Jul 8, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2283838 MA
Family Nurse Practitioner 363LF0000X 2283838 MA Primary

Addresses

Primary practice location

104 Quarry St Ste 2
Quincy, MA 02169-4174

Mailing address

960 Massachusetts Avenue
FL 2
Boston, MA 02118-2690

Other practice location 1

40 Industrial Park Rd Ste 202
Plymouth, MA 02360-4884
Phone (617) 472-6764

Other identifiers 1

IdentifierTypeStateIssuer
110105978AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151103001379 MA Practitioner - Nurse Practitioner 3779893755 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Id of Quincy LLCGroup PAC ID 3173911161, 6 clinicians

Practice addresses (Care Compare)

104 Quarry St
Suite 2
Quincy, MA 02169-4174
Phone (617) 202-2401

40 Industrial Park Rd
Suite 202
Plymouth, MA 02360-4884
Phone (617) 202-2401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2283838MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boston University Dermatology, Inc. CurrentSince Dec 1, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 6, 2015 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 6, 2015 Accepting new patients
South Shore Medical Center, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Integrated Dermatology of Plymouth, LLC Past Accepting new patients
Women'S Health Affiliates, Inc. Past Accepting new patients
Kenneth M Reed MD PC Past Accepting new patients
Id of Massachusetts LLC Past Accepting new patients

Locations

960 Massachusetts Ave
Ste 2
Boston, MA 02118

725 Albany St
#8B
Boston, MA 02118
Phone (617) 358-9728

930 Commonwealth Ave
Boston, MA 02215
Phone (617) 262-2020

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

5 Tarkiln Rd
Kingston, MA 02364
Phone (781) 585-2200

143 Longwater Dr
Norwell, MA 02061
Phone (781) 792-4136

801 Albany St
Fl G
Roxbury, MA 02119

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

Interoperability endpoints

  • Direct secure messaging: kristina.anderson.1@1005.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1003299090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVENUE",
            "address_2": "FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 QUARRY ST STE 2",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694174",
            "telephone_number": "617-472-6764",
            "fax_number": "617-770-9933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Industrial Park Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023604884",
            "country_code": "US",
            "telephone_number": "617-472-6764",
            "fax_number": "617-770-9933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "F.N.P.-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "2283838",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2283838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110105978A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.