Individual provider Active NPI

Kristen Donna Fuller, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • North Kingstown, RI
National Provider Identifier
1295184141
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN04614 Issued in RI
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220928001969 CT Practitioner - Nurse Practitioner 5395121388 Reassigns benefits to 2 organizations
I20250729004621 RI Practitioner - Nurse Practitioner 5395121388 Reassigns benefits to 1 organization

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
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

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 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10806CTMDPsychiatric/Mental Health Nurse Practitioner
APRN04614RIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Jan 1, 2025 Accepting new patients
Affinity Physicians LLC CurrentSince Aug 31, 2025 Accepting new patients
Affinity Physicians LLC. CurrentSince Aug 31, 2025 Accepting new patients
Yale University CurrentSince Aug 30, 2022 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jan 1, 2025 Accepting new patients
Yale University CurrentSince Aug 30, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.