Individual provider Active NPI

Kristen Hogan

  • Certified Registered Nurse Anesthetist
  • Plymouth, MA
National Provider Identifier
1265899413
Registry record updated Dec 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN253193 Issued in MA
Practice address
275 Sandwich St
Plymouth, MA 02360
Phone
(508) 742-2000
NPI assigned
Jan 19, 2016
Last updated
Dec 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 253193 MA
Certified Registered Nurse Anesthetist 367500000X RN253193 MA Primary

Addresses

Primary practice location

275 Sandwich St
Plymouth, MA 02360

Mailing address

275 Sandwich St
Plymouth, MA 02360-2183
Phone (508) 742-2000

Other practice location 1

34 Sunflower Dr
Raynham, MA 02767-1867
Phone (508) 245-2185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161207001801 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284914300 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Cape Cod Anesthesia Associates, IncGroup PAC ID 0749260933, 39 clinicians
Matrix Anesthesia PCGroup PAC ID 8820136377, 52 clinicians
On Demand Anesthesia LLCGroup PAC ID 0042675662, 20 clinicians
Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians
South Suburban Gastroenterology PCGroup PAC ID 9931194412, 50 clinicians

Practice addresses (Care Compare)

27 Park St
Hyannis, MA 02601-5230
Phone (508) 771-1800

680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7642

700 Attucks LN
Unit 1B
Hyannis, MA 02601-1813
Phone (781) 585-9522

795 Middle St
Fall River, MA 02721-1733
Phone (508) 674-5600

97 Libbey Pkwy
Suite 300
Weymouth, MA 02189-3110
Phone (781) 331-2922

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2018 Accepting new patients
South Suburban Gastroenterology, PC CurrentSince Nov 11, 2025 Accepting new patients
Lifespan Physician Group of Massachusetts Inc CurrentSince May 16, 2025 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Apr 1, 2021 Accepting new patients
Steward Medical Group, Inc CurrentSince Mar 1, 2018 Accepting new patients
Icon Anesthesia Services of New England LLC CurrentSince Jul 20, 2024 Accepting new patients
On Demand Anesthesia LLC CurrentSince Jul 20, 2024 Accepting new patients
Cape Cod Anesthesia Associates, Inc. CurrentSince Apr 15, 2023 Accepting new patients
Matrix Anesthesia, PC CurrentSince Sep 1, 2024 Accepting new patients
Gbaa Holdings, PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2024 Accepting new patients
Narragansett Bay Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2018 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Apr 1, 2021 Accepting new patients
Weymouth Endoscopy, LLC PastSince Nov 11, 2025 Accepting new patients

Locations

45 Discovery Way
#A
Acton, MA 01720
Phone (617) 936-7683

138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302

900 Cummings Ctr
Ste 122U
Beverly, MA 01915
Phone (978) 922-4670

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

700 Attucks Ln
Unit 1B
Hyannis, MA 02601
Phone (508) 367-3557

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255

275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000

440 Swansea Mall Dr
Swansea, MA 02777
Phone (508) 324-1171

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

1085 Main St
Weymouth, MA 02190
Phone (781) 331-2922

97 Libbey Park
Ste 300
Weymouth, MA 02189
Phone (781) 331-2922

Organizations & group practices 13

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.

View all 13

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": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545609600000",
    "number": "1265899413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 SANDWICH ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602183",
            "telephone_number": "508-742-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 SANDWICH ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "02360",
            "telephone_number": "508-742-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Sunflower Dr",
            "address_purpose": "LOCATION",
            "city": "Raynham",
            "state": "MA",
            "postal_code": "027671867",
            "country_code": "US",
            "telephone_number": "508-245-2185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2018-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "253193",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN253193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.