Active NPI
Kristen U. Stephens, PA
- Medical Physician Assistant
- Middletown, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1490
- Practice address
- 28 Crescent St
Middletown, CT 06457-3654 - Phone
- (860) 358-8016
- NPI assigned
- Feb 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1490 | CT | Primary |
Addresses
Primary practice location
28 Crescent St
Middletown, CT 06457-3654
Mailing address
28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-8016
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001490 | Other | CT | CT LICENSE # |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1025 Silas Deane Hwy
Wethersfield, CT 06109-4223
Phone (860) 696-2400
35 Talcottville Rd
Vernon, CT 06066-5261
Phone (860) 787-5774
351 N Frontage Rd
New London, CT 06320-2628
Phone (860) 865-0934
385 W Main St
Avon, CT 06001-4357
Phone (860) 777-6977
54 Hazard Ave
Enfield, CT 06082-3845
Phone (860) 787-5780
752 Washington St
Middletown, CT 06457-2904
Phone (860) 613-5377
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Connecticut Health Center | Current | Accepting new patients | |
| University of Connecticut Health Center | Current | Accepting new patients | |
| Hartford Healthcare Medical Group, Inc | Current | Accepting new patients | |
| Middlesex Hospital | Past | Accepting new patients | |
| Middlesex Hospital | Medical | Past | Accepting new patients |
Locations
385 W Main St
Avon, CT 06001
Phone (860) 777-1280
263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477
28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000
55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
5 Founders St
Ste 202
Willimantic, CT 06226
Phone (860) 456-3997
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Avon, CT
- NPI 1093239683
-
- Surgery Physician
- Wethersfield, CT
- NPI 1043561301
-
- General Practice Physician
- Farmington, CT
- NPI 1720083769
-
- Durable Medical Equipment & Medical Supplies
- Farmington, CT
- NPI 1104809375
-
- Community Based Hospice Care Agency
- Middletown, CT
- NPI 1003873233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330560000000",
"number": "1174598445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 CRESCENT ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064573654",
"telephone_number": "860-358-8016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 CRESCENT ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064573654",
"telephone_number": "860-358-8016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "KRISTEN",
"middle_name": "U.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-21",
"last_updated": "2012-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CT",
"license": "1490",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT LICENSE #",
"identifier": "001490",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.