NPIMap

Individual provider Active NPI

Kristen H Magner, PA-C

  • Physician Assistant
  • Shelton, CT
National Provider Identifier
1255955530
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4859 Issued in CT
Practice address
110 Commerce Dr
Shelton, CT 06484-6244
Phone
(203) 929-7331
Fax
(203) 925-0330
NPI assigned
Jun 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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 4859 CT Primary

Addresses

Primary practice location

110 Commerce Dr
Shelton, CT 06484-6244

Mailing address

67 Maple Ave
Derby, CT 06418-1328
Phone (203) 929-7331

Other practice location 1

24 Adams Dr
Terryville, CT 06786-6013
Phone (860) 919-8338

Other practice location 2

1918 Black Rock Tpke
Fairfield, CT 06825-3543
Phone (203) 583-8400

Other names 1

  • Ms. Kristen Lee Harger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200826000889 CT Practitioner - Physician Assistant 8921425695 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairfield Medical Group, LLCGroup PAC ID 5597654343, 5 clinicians
Rehabilitation Associates IncGroup PAC ID 8022905322, shared by 2 NPIs, 525 clinicians

Practice addresses (Care Compare)

1300 Post Rd
Suite 202
Fairfield, CT 06824-6038
Phone (203) 255-8827

1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681

555 Bridgeport Ave
Shelton, CT 06484-4749
Phone (203) 922-1773

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4859CTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Connecticut, PC CurrentSince May 1, 2021 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince May 1, 2021 Accepting new patients
The Griffin Hospital PastSince Nov 13, 2022 Accepting new patients
Northeast Medical Group, Inc. Past Accepting new patients

Locations

2 Main St
Danbury, CT 06810
Phone (203) 826-2140

Interoperability endpoints

  • Direct secure messaging: kmagner595982@direct.ynhh.org

Organizations & group practices 10

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": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1255955530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 MAPLE AVE",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181328",
            "telephone_number": "203-929-7331",
            "fax_number": "203-925-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 COMMERCE DR",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846244",
            "telephone_number": "203-929-7331",
            "fax_number": "203-925-0330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Adams Dr",
            "address_purpose": "LOCATION",
            "city": "Terryville",
            "state": "CT",
            "postal_code": "067866013",
            "country_code": "US",
            "telephone_number": "860-919-8338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1918 Black Rock Tpke",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CT",
            "postal_code": "068253543",
            "country_code": "US",
            "telephone_number": "203-583-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGNER",
        "first_name": "KRISTEN",
        "middle_name": "H",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "4859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "HARGER",
            "middle_name": "LEE",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shelton, CT

Sources for this page

Verify at the official NPI Registry.