Individual provider Active NPI

Kristine Johnson, APRN, FNP-BC

  • Family Nurse Practitioner
  • Ledyard, CT
National Provider Identifier
1356987887
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8554 Issued in CT
Practice address
84 Church Hill Rd
Ledyard, CT 06339-1303
Phone
(860) 822-3924
NPI assigned
Nov 19, 2019
Last updated
Mar 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8554 CT Primary

Addresses

Primary practice location

84 Church Hill Rd
Ledyard, CT 06339-1303

Mailing address

84 Church Hill Rd
Ledyard, CT 06339-1303
Phone (860) 822-3924

Other practice location 1

44 Maritime Dr
Mystic, CT 06355-1958
Phone (860) 572-1700

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
I20200218002247 CT Practitioner - Nurse Practitioner 2163859851 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HDC Care Solutions LLCGroup PAC ID 0345634770, 190 clinicians

Practice addresses (Care Compare)

101 Centerpoint Dr
Suite 215
Middletown, CT 06457-7568
Phone (888) 964-6681

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ma Pacs 2 PC CurrentSince Sep 29, 2020 Accepting new patients
Healthdrive Medical Services Southeast LLC Family CurrentSince Aug 1, 2025 Accepting new patients
Careconnectmd Connecticut PC CurrentSince Jan 17, 2025 Accepting new patients
Connecticut Post Acute Medical Services 1 PC CurrentSince Jan 20, 2020 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

101 Centerpoint Dr
Ste 215
Middletown, CT 06457
Phone (203) 696-3550

44 Maritime Dr
Mystic, CT 06355
Phone (860) 572-1700

31 Vauxhall St
New London, CT 06320
Phone (203) 789-1650

1266 E Main St
Stamford, CT 06902
Phone (203) 276-3000

88 Clark Ln
Waterford, CT 06385
Phone (860) 442-0471

135 Dodge St
Providence, RI 02907
Phone (401) 383-5150

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 2

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": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1356987887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 CHURCH HILL RD",
            "city": "LEDYARD",
            "state": "CT",
            "postal_code": "063391303",
            "telephone_number": "860-822-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 CHURCH HILL RD",
            "city": "LEDYARD",
            "state": "CT",
            "postal_code": "063391303",
            "telephone_number": "860-822-3924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Maritime Dr",
            "address_purpose": "LOCATION",
            "city": "Mystic",
            "state": "CT",
            "postal_code": "063551958",
            "country_code": "US",
            "telephone_number": "860-572-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KRISTINE",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ledyard, CT

Sources for this page

Verify at the official NPI Registry.