Individual provider Active NPI

Kristina Marie Fitzgerald, APRN

  • Family Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1265132393
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11658 Issued in CT
Practice address
19 Woodland St Ste 31
Hartford, CT 06105-2368
Phone
(860) 728-1212
NPI assigned
Mar 7, 2023
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11658 CT Primary

Addresses

Primary practice location

19 Woodland St Ste 31
Hartford, CT 06105-2368

Mailing address

19 Woodland St Ste 31
Hartford, CT 06105-2368
Phone (860) 728-1212

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
I20230524002476 CT Practitioner - Nurse Practitioner 8123484714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians for Women's Health, LLCGroup PAC ID 3274430665, 319 clinicians

Practice addresses (Care Compare)

103 Newtown Rd
Candlewood Center for Womens Health
Danbury, CT 06810-4195
Phone (203) 730-8789

1178 Silas Deane Hwy
Suite 3
Wethersfield, CT 06109-4340
Phone (860) 633-8550

35 Nod Rd
203 Woodland Womens Health Asscociates
Avon, CT 06001-3826
Phone (860) 409-1540

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.08 of 100Reported as group
Quality
85.82
Promoting interoperability
100
Improvement activities
40
Cost
77.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians for Women's Health LLC Family CurrentSince Jun 1, 2023 Accepting new patients

Locations

35 Nod Rd
Ste 203
Avon, CT 06001
Phone (860) 409-1540

103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789

19 Woodland St
Ste 31
Hartford, CT 06105
Phone (860) 522-7984

175 Capital Blvd
Fl 3
Rocky Hill, CT 06067

Interoperability endpoints

  • Direct secure messaging: kristina.fitzgerald.1@10170.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1265132393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 WOODLAND ST STE 31",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052368",
            "telephone_number": "860-728-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 WOODLAND ST STE 31",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052368",
            "telephone_number": "860-728-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "11658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.