Active NPI
Kristen Donna Fuller, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- North Kingstown, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN04614
- Practice address
- 1130 Ten Rod Rd Ste F201
North Kingstown, RI 02852-4172 - Phone
- (401) 217-3590
- NPI assigned
- Jun 10, 2016
- Last updated
- Apr 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10806 | CT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN04614 | RI | Primary |
Addresses
Primary practice location
1130 Ten Rod Rd Ste F201
North Kingstown, RI 02852-4172
Mailing address
1130 Ten Rod Rd Ste F201
North Kingstown, RI 02852-4172
Phone (401) 217-3590
Other practice location 1
45 Fair St Fl 1
Wallingford, CT 06492-4208
Phone (401) 217-3590
Other practice location 2
20 York St
New Haven, CT 06510-3220
Phone (203) 688-1616
Other practice location 3
1450 Chapel St
New Haven, CT 06511-4405
Phone (203) 789-3633
Other practice location 4
249 Roosevelt Ave
Pawtucket, RI 02860-2134
Phone (401) 724-8400
Other practice location 5
345 Blackstone Blvd
Providence, RI 02906-4800
Phone (401) 455-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1450 Chapel St
New Haven, CT 06511-4440
Phone (203) 789-3000
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010
47 Long Lots Rd
Westport, CT 06880-3828
Phone (203) 227-1251
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 77.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10806 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
| APRN04614 | RI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group Specialists, PLLC | Current | Accepting new patients | |
| Affinity Physicians LLC | Current | Accepting new patients | |
| Affinity Physicians LLC. | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| Fuller Psychiatry & Wellness LLC | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366
1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151
50 Division St
New Haven, CT 06511
Phone (203) 785-2140
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
20 York St
North Haven, CT 06510
Phone (203) 688-2433
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
47 Long Lots Rd
Westport, CT 06880
Phone (203) 221-8801
345 Blackstone Blvd
Providence, RI 02906
Phone (401) 455-6375
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
Interoperability endpoints
- kfuller486167@direct.ynhh.org
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Warwick, RI
- NPI 1184944662
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
-
- Psychiatric/Mental Health Nurse Practitioner
- North Kingstown, RI
- NPI 1306703459
-
- Anesthesiology Physician
- Providence, RI
- NPI 1053038471
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1295184141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 TEN ROD RD STE F201",
"city": "NORTH KINGSTOWN",
"state": "RI",
"postal_code": "028524172",
"telephone_number": "401-217-3590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 TEN ROD RD STE F201",
"city": "NORTH KINGSTOWN",
"state": "RI",
"postal_code": "028524172",
"telephone_number": "401-217-3590"
}
],
"practiceLocations": [
{
"address_1": "45 Fair St Fl 1",
"address_purpose": "LOCATION",
"city": "Wallingford",
"state": "CT",
"postal_code": "064924208",
"country_code": "US",
"telephone_number": "401-217-3590",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20 York St",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065103220",
"country_code": "US",
"telephone_number": "203-688-1616",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1450 Chapel St",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065114405",
"country_code": "US",
"telephone_number": "203-789-3633",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "249 Roosevelt Ave",
"address_purpose": "LOCATION",
"city": "Pawtucket",
"state": "RI",
"postal_code": "028602134",
"country_code": "US",
"telephone_number": "401-724-8400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "345 Blackstone Blvd",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029064800",
"country_code": "US",
"telephone_number": "401-455-6200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FULLER",
"first_name": "KRISTEN",
"middle_name": "DONNA",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-10",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "10806",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "RI",
"license": "APRN04614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Kingstown, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.