Active NPI
Kristina Marie Anderson, F.N.P.-C
- Family Nurse Practitioner
- Quincy, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2283838
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110105978A | Medicaid | MA |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2283838 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston University Dermatology, Inc. | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| South Shore Medical Center, Inc. | Current | 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
- 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.
-
- Dermatology Physician
- Quincy, MA
- NPI 1053088377
-
- Dermatology Physician
- Boston, MA
- NPI 1376532853
-
- Internal Medicine Physician
- Norwell, MA
- NPI 1669411856
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Dermatology Physician
- Quincy, MA
- NPI 1477229326
-
- Dermatology Physician
- Quincy, MA
- NPI 1407445711
-
- Dermatology Physician
- Quincy, MA
- NPI 1871668640
-
- Obstetrics & Gynecology Physician
- Brockton, MA
- NPI 1396783742
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.