Individual provider Active NPI

Kelly Ann Riggieri, APRN

  • Family Nurse Practitioner
  • West Hartford, CT
National Provider Identifier
1073981841
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6274 Issued in CT
Practice address
345 N Main St
Suite 245
West Hartford, CT 06117-2515
Phone
(860) 236-3000
Fax
(860) 236-3002
NPI assigned
Sep 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 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 6274 CT Primary

Addresses

Primary practice location

345 N Main St
Suite 245
West Hartford, CT 06117-2515

Mailing address

46 Yale Dr
Manchester, CT 06042-8504
Phone (401) 316-3605

Other names 1

  • Kelly Ann Desimone Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kriggieri153957@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
I20160523000831 CT Practitioner - Nurse Practitioner 3678862190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

11 S Rd
Farmington, CT 06032-2483
Phone (860) 522-2251

114 Woodland St
Hartford, CT 06105-1208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Apr 25, 2016 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Apr 25, 2016 Accepting new patients

Locations

11 South Rd
Ste 200
Farmington, CT 06032
Phone (860) 246-4000

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

345 N Main St
Ste 245
West Hartford, CT 06117
Phone (860) 236-3000

Interoperability endpoints

  • Direct secure messaging: kriggieri2389042@direct.trinity-health.org

Organizations & group practices 2

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": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1073981841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 YALE DR",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060428504",
            "telephone_number": "401-316-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 N MAIN ST",
            "address_2": "SUITE 245",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172515",
            "telephone_number": "860-236-3000",
            "fax_number": "860-236-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGGIERI",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "6274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kriggieri153957@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "Trinity Health of New England Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "11 South Rd Ste 200",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060322483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "DESIMONE",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.