Individual provider Active NPI

Kristen M Farrell, APRN

  • Adult Health Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1396151858
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
005970 Issued in CT
Practice address
85 Seymour St Ste 1022
Hartford, CT 06106-5530
Phone
(860) 972-3570
NPI assigned
Jul 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X NPP37882 RI
Adult Health Nurse Practitioner 363LA2200X 005970 CT Primary

Addresses

Primary practice location

85 Seymour St Ste 1022
Hartford, CT 06106-5530

Mailing address

1 Quakertown MDW
Ledyard, CT 06339-1692
Phone (401) 497-2133

Other practice location 1

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 972-2975

Other practice location 2

52 Hazelnut Hill Rd
Groton, CT 06340-3268
Phone (860) 442-0711 ext. 2275

Other identifiers 3

IdentifierTypeStateIssuer
005970OtherCTAPRN LICENSE
1396151858MedicaidCT
NPP37882OtherRIPROFESSIONAL LICENSE

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
I20141223000320 CT Practitioner - Nurse Practitioner 2668795717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NPP37882RIMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. Nurse Practitioner CurrentSince Mar 24, 2025 Accepting new patients

Locations

52 Hazelnut Hill Rd
Groton, CT 06340
Phone (860) 446-8265

365 Montauk Ave
Fl 3
New London, CT 06320

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

79 Wawecus St
Norwich, CT 06360
Phone (860) 886-0161

79 Wawecus St
Ste 101
Norwich, CT 06360
Phone (860) 886-2655

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

Interoperability endpoints

  • Direct secure messaging: kfarrell708678@direct.ynhh.org
  • Direct secure messaging: kristen.farrell@xdr.hhchealthdirect.org

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": "1404518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1396151858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 QUAKERTOWN MDW",
            "city": "LEDYARD",
            "state": "CT",
            "postal_code": "063391692",
            "telephone_number": "401-497-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST STE 1022",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065530",
            "telephone_number": "860-972-3570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Seymour St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061028000",
            "country_code": "US",
            "telephone_number": "860-972-2975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "52 Hazelnut Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Groton",
            "state": "CT",
            "postal_code": "063403268",
            "country_code": "US",
            "telephone_number": "860-442-0711 x2275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-05",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "RI",
            "license": "NPP37882",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "005970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN  LICENSE",
            "identifier": "005970",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396151858",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "NPP37882",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.