Individual provider Active NPI

Cristina Boisvert, DNP, FNP

  • Family Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1285258673
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8950 Issued in CT
Practice address
282 Washington St
Hartford, CT 06106-3322
Phone
(860) 545-9650
Fax
(860) 545-9214
NPI assigned
Jun 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 8950 CT
Student in an Organized Health Care Education/Training Program 390200000X CT
Family Nurse Practitioner 363LF0000X 8950 CT Primary

Addresses

Primary practice location

282 Washington St
Hartford, CT 06106-3322

Mailing address

1110 Durham Rd
Madison, CT 06443-1858
Phone (203) 421-3600

Other practice location 1

1110 Durham Rd
Madison, CT 06443-1858
Phone (203) 421-3600

Other practice location 2

162 E Main St
Clinton, CT 06413-2116
Phone (860) 669-7272

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cristinaaugusto@php.allscriptsdirect.net

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
I20200916000665 CT Practitioner - Nurse Practitioner 0244658771 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8950CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Children'S Specialty Group, Inc. CurrentSince Jan 23, 2023 Accepting new patients
Connecticut Children'S Specialty Group, Inc. CurrentSince Jan 23, 2023 Accepting new patients
Prohealth Physicians PC Nurse Practitioner CurrentSince Aug 1, 2020 Accepting new patients
Shoreline Pediatrics & Adolescent Medicine, P.C. PastSince Jun 1, 2020 Accepting new patients

Locations

162 E Main St
Clinton, CT 06413
Phone (860) 669-7272

505 Farmington Ave
Fl 1
Farmington, CT 06032

3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200

505 Farmington Ave
#1
Farmington, CT 06032

310 Western Blvd
Bldg C
Glastonbury, CT 06033
Phone (860) 368-5801

282 Washington St
Ste 2K
Hartford, CT 06106
Phone (860) 545-9560

282 Washington St
Ste 2
Hartford, CT 06106

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

1110 Durham Rd
Madison, CT 06443
Phone (203) 421-3600

1281 E Main St
Ste 3
Stamford, CT 06902
Phone (860) 545-9200

191 Post Rd W
#1
Westport, CT 06880

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

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": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1285258673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 DURHAM RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064431858",
            "telephone_number": "203-421-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 WASHINGTON ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063322",
            "telephone_number": "860-545-9650",
            "fax_number": "860-545-9214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 Durham Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "CT",
            "postal_code": "064431858",
            "country_code": "US",
            "telephone_number": "203-421-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "162 E Main St",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "CT",
            "postal_code": "064132116",
            "country_code": "US",
            "telephone_number": "860-669-7272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOISVERT",
        "first_name": "CRISTINA",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "8950",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cristinaaugusto@php.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "282 Washington St",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061063322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.