Individual provider Active NPI

Kristen A Dorr, A-GNP-C

  • Primary Care Nurse Practitioner
  • Holmdel, NJ
National Provider Identifier
1114407186
Registry record updated Aug 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ00844800 Issued in NJ
Practice address
23 Main St Ste D1
Holmdel, NJ 07733-2136
Phone
(732) 571-1000
NPI assigned
Aug 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26NJ00844800 NJ Primary

Addresses

Primary practice location

23 Main St Ste D1
Holmdel, NJ 07733-2136

Mailing address

823 Bowman Rd
Jackson, NJ 08527-3553
Phone (848) 702-0676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20180926002391 NJ Practitioner - Nurse Practitioner 9032460258 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VPS Medical Services, PCGroup PAC ID 2961836069, 45 clinicians

Practice addresses (Care Compare)

3600 State Route 66
Neptune, NJ 07753-2645

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Nurse Association of Central Jersey, Inc. CurrentSince Aug 20, 2018 Accepting new patients
Visiting Nurse Association of Central Jersey, Inc. CurrentSince Aug 20, 2018 Accepting new patients
VPS Medical Services, PC CurrentSince Jan 1, 2020 Accepting new patients

Locations

23 Main St
#D1
Holmdel, NJ 07733
Phone (732) 224-6914

3600 State Route 66
Fl 4
Tinton Falls, NJ 07753
Phone (732) 241-4194

1100 Wayside Rd
Tinton Falls, NJ 07712
Phone (732) 493-2220

Interoperability endpoints

  • Direct secure messaging: kristen.dorr.p2@direct.vnahg.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 2

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": "1534550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534550400000",
    "number": "1114407186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 BOWMAN RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085273553",
            "telephone_number": "848-702-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MAIN ST STE D1",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332136",
            "telephone_number": "732-571-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORR",
        "first_name": "KRISTEN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "A-GNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-18",
        "last_updated": "2018-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00844800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

Verify at the official NPI Registry.