Kristen Baum Xeller, M.D.
Individual provider Active NPI Family Medicine Physician · Pomfret Center, CT
NPI 1295969715 · NPPES record last updated Sep 18, 2019
Key facts
- NPI
- 1295969715
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 051371 (CT)
- Practice address
- 697 Pomfret St
Pomfret Center, CT 06259-1124 - Phone
- (860) 315-5400
- Fax
- (860) 315-7450
- NPI assigned
- May 12, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 1, 2016 through Jun 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Interoperability endpoints
- kristen.xeller@141451033247748.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 051371 | CT | Yes |
Addresses
Primary practice location
697 Pomfret St
Pomfret Center, CT 06259-1124
Mailing address
697 Pomfret St
Pomfret Center, CT 06259-1124
Phone (860) 315-5400
Other names
- Kristen Michelle Baum
Other providers in Pomfret Center, CT
All providers in Pomfret Center, CT · Family Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.