Kristen M Derosa, NNP-BC, ACNPC-AG

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

RN2314768 Issued in MA

Practice address

416 Belmont St
Worcester, MA 01604-1086

Phone

(508) 756-6609

NPI assigned

Jul 17, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IGFCDD

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.

• Integral Health Partners LLC

  • Nurse Practitioner
  • Worcester, MA
  • NPI 1679183545

  Single Specialty

  Medicare reassignment NPD
• Mass General Brigham Medical Group Western Massachusetts Inc

  • Family Medicine Physician
  • Northampton, MA
  • NPI 1295787919

  Single Specialty

  Medicare reassignment NPD
• Worcester Internal Medicine, Inc.

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1063565422

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1003469230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 MILLBROOK ST STE 406A",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062845",
            "telephone_number": "508-283-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 BELMONT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041086",
            "telephone_number": "508-756-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROSA",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "credential": "NNP-BC, ACNPC-AG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "KS",
            "license": "45177",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MA",
            "license": "RN2314768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFICATION CORPORATION: CERTIFICATION ID",
            "identifier": "104252227",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCC CERTIFICATION ID",
            "identifier": "104252227",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Rose Dephillips
• Don Paul Deprez, M.D.
• Steven James Derleth II
• Kathleen M. Dermady, CNM
• Jordan Elizabeth Dermody
• Amanda Derosier, M.A
• David J Derosier Jr., ACNPC-AG, CPNP-AC
• Elaine C Derry-Neely, LSW
• Alicia Derry
• Rachel N Derry, F.N.P - B.C.

• Acute Care Nurse Practitioner in Worcester, MA
• Providers in Worcester, MA by specialty
• Acute Care Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.