Individual provider Active NPI

Kelly Vinitsky, FNP

  • Family Nurse Practitioner
  • Wellesley Hills, MA
National Provider Identifier
1295420180
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2273448 Issued in MA
Practice address
332 Washington St Ste 200
Wellesley Hills, MA 02481-6217
Phone
(781) 235-4088
NPI assigned
Apr 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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 RN2273448 MA
Family Nurse Practitioner 363LF0000X RN2273448 MA Primary

Addresses

Primary practice location

332 Washington St Ste 200
Wellesley Hills, MA 02481-6217

Mailing address

332 Washington St Ste 200
Wellesley Hills, MA 02481-6217
Phone (774) 340-8923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20260224001468 MA Practitioner - Nurse Practitioner 0547741902 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
Telehealth
Offers telehealth services
Group practices
Renaissance Family Medicine of Wellesley LLCGroup PAC ID 5395978431, 2 clinicians

Practice addresses (Care Compare)

332 Washington St
Suite 200
Wellesley, MA 02481-6217
Phone (781) 235-4088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2273448MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Family Medicine of Wellesley LLC CurrentSince Jan 18, 2026 Accepting new patients

Locations

332 Washington St
Ste 200
Wellesley Hls, MA 02481
Phone (781) 235-4088

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8897/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1295420180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 WASHINGTON ST STE 200",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024816217",
            "telephone_number": "774-340-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 WASHINGTON ST STE 200",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024816217",
            "telephone_number": "781-235-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINITSKY",
        "first_name": "KELLY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-07",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2273448",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2273448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley Hills, MA

Sources for this page

Verify at the official NPI Registry.