Individual provider Active NPI

Kristen Labrencis McCartney, PA-C

  • Physician Assistant
  • Glastonbury, CT
National Provider Identifier
1144530197
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002455 Issued in CT
Practice address
42 Shady Hill LN
Glastonbury, CT 06033-1847
Phone
(860) 965-3329
NPI assigned
Oct 8, 2010
Last updated
Apr 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002455 CT Primary

Addresses

Primary practice location

42 Shady Hill LN
Glastonbury, CT 06033-1847

Mailing address

42 Shady Hill LN
Glastonbury, CT 06033-1847
Phone (860) 965-3329

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
I20110208000164 CT Practitioner - Physician Assistant 6002096146 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109-4337
Phone (860) 827-7695

2 Northwestern Dr
Bloomfield, CT 06002-3480
Phone 86028632003480

256 N Main St
Manchester, CT 06042-2004
Phone (860) 696-2300

330 Western Blvd
Glastonbury, CT 06033-4383
Phone (860) 696-4380

330 Western Boulevard
Suite 103
Glastonbury, CT 06033-4383
Phone (860) 972-2884

85 Seymour St
Hartford, CT 06106-5501
Phone (860) 696-4306

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002455CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Feb 15, 2022 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Feb 15, 2022 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Jan 6, 2016 Accepting new patients

Locations

330 Western Blvd
Glastonbury, CT 06033
Phone (860) 524-4566

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: kristen.mccartney@xdr.hhchealthdirect.org

Organizations & group practices 6

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 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": "1286496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1144530197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 SHADY HILL LN",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331847",
            "telephone_number": "860-965-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 SHADY HILL LN",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331847",
            "telephone_number": "860-965-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTNEY",
        "first_name": "KRISTEN",
        "middle_name": "LABRENCIS",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-08",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "002455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.