Individual provider Active NPI

Kristen Jeanne Vetrano, NP

  • Certified Registered Nurse Anesthetist
  • Port Jefferson, NY
National Provider Identifier
1427223460
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
508718 Issued in NY
Practice address
200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone
(631) 474-6000
NPI assigned
Apr 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 508718 NY Primary
Nurse Practitioner 363L00000X F304717 NY

Addresses

Primary practice location

200 Belle Terre Rd
Port Jefferson, NY 11777-1928

Mailing address

102 Sara Cir
Port Jefferson Station, NY 11776-2737
Phone (631) 828-2159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140805001654 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 0345379087 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
State University of New York at Stony Brook, School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore - Lij Anesthesiology, PCGroup PAC ID 1153602453, 990 clinicians
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
Office Based Anesthesia LLCGroup PAC ID 2163400375, 12 clinicians
Suffolk Anesthesiology Associates PCGroup PAC ID 6204725740, 78 clinicians

Practice addresses (Care Compare)

10201 66TH Rd
Forest Hills, NY 11375-2029
Phone (718) 830-4000

111 Broadway
FL 2
New York, NY 10006-1995
Phone (212) 263-9700

200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone (631) 360-4000

50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 862-3000

530 1St Ave
New York, NY 10016-6402

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-6037

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F304717NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Current Accepting new patients
North Shore - Lij Anesthesiology, PC CurrentSince Aug 1, 2024 Accepting new patients
Suffolk Anesthesiology Associates, PC CurrentSince Oct 1, 2023 Accepting new patients
New York University CurrentSince Feb 1, 2024 Accepting new patients
New York University CurrentSince Feb 1, 2024 Accepting new patients
Long Island Anesthesia Physicians LLP CurrentSince Feb 1, 2013 Accepting new patients
Office Based Anesthesia LLC CurrentSince Jan 30, 2025 Accepting new patients

Locations

185 Central Ave
Bethpage, NY 11714
Phone (516) 733-7100

28 Research Way
East Setauket, NY 11733
Phone (631) 380-2710

340 Broadhollow Rd
Farmingdale, NY 11735
Phone (516) 931-0041

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

975 Stewart Ave
Garden City, NY 11530
Phone (516) 222-8600

70 Glen St
Ste 106
Glen Cove, NY 11542
Phone (516) 759-5330

488 Great Neck Rd
Great Neck, NY 11021
Phone (516) 466-1151

400 Townline Rd
Ste 135
Hauppauge, NY 11788
Phone (631) 360-0266

125 Kennedy Dr
Ste 300
Hauppauge, NY 11788
Phone (934) 223-4500

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

200 Old Country Rd
Mineola, NY 11501
Phone (516) 408-4900

61 Southern Blvd
Nesconset, NY 11767
Phone (631) 659-1700

59 Southern Blvd
Nesconset, NY 11767
Phone (631) 628-5000

1991 Marcus Ave
Ste 1010
New Hyde Park, NY 11042
Phone (631) 360-4000

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

131 Merrick Rd
North Merrick, NY 11566
Phone (516) 223-1515

1174 Route 112
Port Jefferson Station, NY 11776
Phone (631) 509-1730

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

9785 Queens Blvd
Rego Park, NY 11374
Phone (631) 360-0266

889 E Main St
Ste 308
Riverhead, NY 11901
Phone (631) 386-3500

1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

373 Route 111
Ste 7
Smithtown, NY 11787
Phone (631) 360-4000

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1427223460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SARA CIR",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762737",
            "telephone_number": "631-828-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BELLE TERRE RD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771928",
            "telephone_number": "631-474-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VETRANO",
        "first_name": "KRISTEN",
        "middle_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "508718",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F304717",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.