Kristen Ellen Korbani, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

4 Hawthorne Dr
Bedford, NH 03110-6983

Phone

(034) 728-8886

Fax

(603) 472-9090

NPI assigned

Jan 31, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elliot Professional ServicesGroup PAC ID 6103727920, 429 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elliot Hospital Hospital, Manchester, NH, CCN 300012
• Concord Hospital Hospital, Concord, NH, CCN 300001
• Catholic Medical Center Hospital, Manchester, NH, CCN 300034

Merit-based Incentive Payment System (MIPS)

Final score

43.42 of 100Reported as group

Quality

25.19

Promoting interoperability

0

Improvement activities

40

Cost

69.55

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Elliot Professional Services

  • Internal Medicine Physician
  • Manchester, NH
  • NPI 1285627935
  Medicare reassignment Care Compare group
• New Hampshire Neurospine Institute, PA

  • Orthopaedic Surgery of the Spine Physician
  • Bedford, NH
  • NPI 1073627329
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Concord Hospital, Inc.

  • General Acute Care Hospital
  • Concord, NH
  • NPI 1215988530
  Care Compare affiliation
• Elliot Hospital of the City of Manchester

  • General Acute Care Hospital
  • Manchester, NH
  • NPI 1902996028
  Care Compare affiliation
• Manchester Health Services, LLC

  • General Acute Care Hospital
  • Manchester, NH
  • NPI 1972340990
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1427701325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HAWTHORNE DR",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106983",
            "telephone_number": "603-472-8888",
            "fax_number": "603-472-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HAWTHORNE DR",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106983",
            "telephone_number": "034-728-8886",
            "fax_number": "603-472-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORBANI",
        "first_name": "KRISTEN",
        "middle_name": "ELLEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coleen Klardie, RPH
• Thomas Jackson Kleeman, MD
• Stacey Klein, SPL
• Alexander P Knapik, MD
• Dawn Kokernak, MSW
• Joanne E Kordas, ARNP
• Sarah Korins, OTR
• Kerry Elizabeth Koroski, M.S., R.D., L.D.
• Megan Bailey Kosciak
• Ajay Koshy, MD

• Surgical Physician Assistant in Bedford, NH
• Providers in Bedford, NH by specialty
• Surgical Physician Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.

Verify at the official NPI Registry.