Active NPI
Kristen Rose Wojewudski, AGACNP-BC
- Acute Care Nurse Practitioner
- Farmington, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- APRN02003
- Practice address
- 263 Farmington Avenue
Farmington, CT 06030-8063 - Phone
- (860) 679-8080
- Fax
- (860) 679-1430
- NPI assigned
- Feb 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | RN | RI | |
| Acute Care Nurse Practitioner | 363LA2100X | APRN02003 | RI | Primary |
Addresses
Primary practice location
263 Farmington Avenue
Farmington, CT 06030-8063
Mailing address
263 Farmington Avenue
Farmington, CT 06030-8063
Phone (860) 679-8080
Other practice location 1
Kent Hospital
455 Toll Gate Road
Warwick, RI 02886
Phone (401) 737-7000
Other practice location 2
Rhode Island Hospital
593 Eddy Street
Providence, RI 02903
Phone (401) 444-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XXXXXX | Medicaid | RI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kwojewudski62028@direct.med.uchc.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, CT
- 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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3692
263 Farmington Ave
Farmington, CT 06030-8082
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10722 | CT | MD | Massage Therapist |
| RN | RI | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Connecticut Health Center | Single Specialty | Current | Accepting new patients |
| University of Connecticut Health Center | Single Specialty | Current | Accepting new patients |
| Lifespan Physician Group, Inc. | Single Specialty | Current | Accepting new patients |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| University of Connecticut Health Center | Past | Accepting new patients |
Locations
263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477
11 Friendship St
Newport, RI 02840
Phone (401) 845-1110
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
164 Summit Ave
Bldg 2ND
Providence, RI 02906
Phone (401) 749-2930
593 Eddy St
Providence, RI 02903
593 Eddy St
#6
Providence, RI 02903
Phone (401) 793-9166
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
Organizations & group practices 5
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.
-
- General Practice Physician
- Farmington, CT
- NPI 1720083769
Single Specialty
-
- General Practice Physician
- Providence, RI
- NPI 1407116643
Single Specialty
-
- Durable Medical Equipment & Medical Supplies
- Farmington, CT
- NPI 1104809375
Single Specialty
-
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
-
- Clinical Medical Laboratory
- Farmington, CT
- NPI 1427031293
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
-
- Psychiatric Hospital Unit
- Middletown, CT
- NPI 1154263713
-
- General Acute Care Hospital
- Farmington, CT
- NPI 1669466561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1376008706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVENUE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060308063",
"telephone_number": "860-679-8080",
"fax_number": "860-679-1430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVENUE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060308063",
"telephone_number": "860-679-8080",
"fax_number": "860-679-1430"
}
],
"practiceLocations": [
{
"address_1": "Kent Hospital",
"address_2": "455 Toll Gate Road",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "02886",
"country_code": "US",
"telephone_number": "401-737-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Rhode Island Hospital",
"address_2": "593 Eddy Street",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "02903",
"country_code": "US",
"telephone_number": "401-444-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOJEWUDSKI",
"first_name": "KRISTEN",
"middle_name": "ROSE",
"credential": "AGACNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-11",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": "RI",
"license": "RN",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "RI",
"license": "APRN02003",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XXXXXX",
"state": "RI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kwojewudski62028@direct.med.uchc.edu",
"affiliation": "N",
"address_1": "263 Farmington Avenue",
"city": "Farmington",
"state": "CT",
"country_code": "US",
"postal_code": "060308063",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.