Active NPI
Kirsten Ashley Fowlks, PMHNP-BC, DNP, MSNRN
- Psychiatric/Mental Health Nurse Practitioner
- Worcester, MA
National Provider Identifier
1245105923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN2284302
- Practice address
- 26 Queen St
Worcester, MA 01610-2473 - Phone
- (508) 334-2670
- NPI assigned
- Oct 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2284302 | MA | Primary |
Addresses
Primary practice location
26 Queen St
Worcester, MA 01610-2473
Mailing address
381 Chandler St
Worcester, MA 01602-3395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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
- Nurse Practitioner
- Education
- University of Massachusetts Medical School, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Century Dr
Worcester, MA 01606-1244
Phone (884) 319-0000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2284302 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
Organizations & group practices 1
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.
-
dba Hospital for Behavioral Medicine
- Psychiatric Hospital
- Worcester, MA
- NPI 1346728748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1245105923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "381 CHANDLER ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016023395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 QUEEN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016102473",
"telephone_number": "508-334-2670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLKS",
"first_name": "KIRSTEN",
"middle_name": "ASHLEY",
"name_prefix": "Dr.",
"credential": "PMHNP-BC, DNP, MSNRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-10",
"last_updated": "2025-10-24",
"certification_date": "2025-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "RN2284302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.