Individual provider Active NPI

Kristen Ferreira, FNP-BC

  • Family Nurse Practitioner
  • Cambridge, MA
National Provider Identifier
1013975424
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN234490 Issued in MA
Practice address
625 Mount Auburn St Ste 106
Cambridge, MA 02138-4556
Phone
(617) 661-5836
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN234490 MA
Gerontology Nurse Practitioner 363LG0600X RN234490 MA
Family Nurse Practitioner 363LF0000X RN234490 MA Primary

Addresses

Primary practice location

625 Mount Auburn St Ste 106
Cambridge, MA 02138-4556

Mailing address

330 Mt Auburn St
Parsons 2
Waltham, MA 02138-5597
Phone (617) 499-5083

Other practice location 1

8 Common St
Ste 2
Waltham, MA 02451-4421
Phone (781) 647-3040

Other identifiers 1

IdentifierTypeStateIssuer
0385701MedicaidMA

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
I20060208000444 MA Practitioner - Nurse Practitioner 4082629332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Auburn Professional Services IncGroup PAC ID 6103725031, 229 clinicians

Practice addresses (Care Compare)

625 Mount Auburn St
Suite 104
Cambridge, MA 02138-4518
Phone (617) 491-5586

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN234490MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mt Auburn Professional Services CurrentSince Nov 7, 2000 Accepting new patients
Mount Auburn Professional Services Inc CurrentSince Nov 7, 2000 Accepting new patients
Mount Auburn Professional Services Inc PastSince Jul 21, 2024 Accepting new patients

Locations

625 Mount Auburn St
Ste 106
Cambridge, MA 02138
Phone (617) 484-0235

330 Mount Auburn St
#2
Cambridge, MA 02138
Phone (617) 499-5026

625 Mount Auburn St
Ste 104
Cambridge, MA 02138
Phone (617) 491-5586

57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500

8 Common St
Ste 2
Waltham, MA 02451
Phone (781) 647-3040

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kferreira507246@direct.bilh.masshiway.net

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1013975424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MT AUBURN ST",
            "address_2": "PARSONS 2",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "021385597",
            "telephone_number": "617-499-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 MOUNT AUBURN ST STE 106",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384556",
            "telephone_number": "617-661-5836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Common St",
            "address_2": "Ste 2",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "024514421",
            "country_code": "US",
            "telephone_number": "781-647-3040",
            "fax_number": "781-647-3044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERREIRA",
        "first_name": "KRISTEN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN234490",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "RN234490",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN234490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0385701",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.