Individual provider Active NPI

Kristen Lee Chapin, PA-C

  • Physician Assistant
  • Bloomfield, CT
National Provider Identifier
1215324355
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5375 Issued in CT
Practice address
2 Northwestern Dr
Bloomfield, CT 06002-6401
Phone
(833) 861-5433
Fax
(860) 224-5803
NPI assigned
Apr 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1085 NH
Physician Assistant 363A00000X 5375 CT Primary

Addresses

Primary practice location

2 Northwestern Dr
Bloomfield, CT 06002-6401

Mailing address

1290 Silas Deane Hwy
Hartford Healthcare-Cvo
Wethersfield, CT 06109

Other practice location 1

100 Hazard Ave Ste 206
Enfield, CT 06082-5447
Phone (833) 861-5433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150626000797 NH Practitioner - Physician Assistant 8628380029 Reassigns benefits to 1 organization
I20210913002256 CT Practitioner - Physician Assistant 8628380029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Tufts University School of Medicine, 2015
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)

10 Jolley Dr
Bloomfield, CT 06002-3061
Phone (860) 286-2470

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

136 S Main St
West Hartford, CT 06107-3451
Phone (860) 246-2071

2 Northwestern Dr
Bloomfield, CT 06002-3480
Phone 86028632003480

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

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1085NHMDPsychologist
5375CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dartmouth-Hitchcock Clinic CurrentSince Apr 21, 2015 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Apr 21, 2015 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Oct 25, 2021 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Oct 25, 2021 Accepting new patients

Locations

2 Northwestern Dr
Bloomfield, CT 06002
Phone 86028632003480

100 Hazard Ave
Ste 206
Enfield, CT 06082
Phone (860) 696-4275

256 N Main St
Manchester, CT 06042
Phone (860) 646-8595

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

136 S Main St
West Hartford, CT 06107
Phone (860) 313-5150

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

253 Pleasant St
Concord, NH 03301
Phone (603) 226-2200

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

Interoperability endpoints

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

Organizations & group practices 4

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": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1215324355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HWY",
            "address_2": "HARTFORD HEALTHCARE-CVO",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "06109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 NORTHWESTERN DR",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060026401",
            "telephone_number": "833-861-5433",
            "fax_number": "860-224-5803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Hazard Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Enfield",
            "state": "CT",
            "postal_code": "060825447",
            "country_code": "US",
            "telephone_number": "833-861-5433",
            "fax_number": "860-224-5803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAPIN",
        "first_name": "KRISTEN",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-15",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "1085",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "5375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

Verify at the official NPI Registry.