Individual provider Active NPI

Kristina Maria Deconti, APRN

  • Family Nurse Practitioner
  • East Hartford, CT
National Provider Identifier
1003491036
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9568 Issued in CT
Practice address
893 Main St
East Hartford, CT 06108-2292
Phone
(860) 528-4124
NPI assigned
Mar 11, 2021
Last updated
Jun 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9568 CT Primary

Addresses

Primary practice location

893 Main St
East Hartford, CT 06108-2292

Mailing address

81 Beacon St
Newington, CT 06111-4703
Phone (860) 819-9144

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kdeconti149418@direct.stfranciscare.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20210401001078 CT Practitioner - Nurse Practitioner 9739596057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prime Healthcare, PCGroup PAC ID 6709787930, 67 clinicians

Practice addresses (Care Compare)

893 Main St
Suite 202
East Hartford, CT 06108-2293
Phone (860) 528-4124

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare, PC Family CurrentSince May 1, 2021 Accepting new patients
Prime Healthcare (Sleep Lab) CurrentSince May 1, 2021 Accepting new patients
Ptsma Inc PastSince Mar 16, 2021 Accepting new patients

Locations

893 Main St
Ste 202
East Hartford, CT 06108
Phone (860) 528-4124

30 Jordan Ln
Wethersfield, CT 06109
Phone (860) 263-0253

Interoperability endpoints

  • Direct secure messaging: kristina.deconti.1@31712.direct.athenahealth.com

Organizations & group practices 3

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1003491036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 BEACON ST",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061114703",
            "telephone_number": "860-819-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 MAIN ST",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061082292",
            "telephone_number": "860-528-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECONTI",
        "first_name": "KRISTINA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "9568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdeconti149418@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "Prime Healthcare Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "893 Main St",
            "city": "East Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061082292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Hartford, CT

Sources for this page

Verify at the official NPI Registry.