Individual provider Active NPI

Kelly Kratman, APRN

  • Family Nurse Practitioner
  • Woburn, MA
National Provider Identifier
1467258475
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
067945-23 Issued in NH
Practice address
500 W Cummings Park Ste 2550
Woburn, MA 01801-6500
Phone
(781) 376-6900
NPI assigned
Feb 20, 2025
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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 067945-23 NH Primary

Addresses

Primary practice location

500 W Cummings Park Ste 2550
Woburn, MA 01801-6500

Mailing address

242 Hayden Rd
Hollis, NH 03049-6202
Phone (603) 493-5169

Other names 1

  • Kelly Nelson Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250410000947 NH Practitioner - Nurse Practitioner 7911421094 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
067945-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alignmed Medical Group, PC CurrentSince Mar 3, 2025 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Mar 3, 2025 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Mar 3, 2025 Accepting new patients
Alignmed Partners, PC CurrentSince Mar 3, 2025 Accepting new patients
Genesis Elder Care Physician Services LLC Past Accepting new patients

Locations

30 Colby Ct
Bedford, NH 03110
Phone (603) 267-0527

239 Pleasant St
Concord, NH 03301
Phone (603) 224-6561

175 Blueberry Ln
Laconia, NH 03246
Phone (603) 524-3340

24 Old Etna Rd
Lebanon, NH 03766
Phone (603) 442-4207

8 Snow Rd
Winchester, NH 03470
Phone (603) 239-6355

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1467258475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 HAYDEN RD",
            "city": "HOLLIS",
            "state": "NH",
            "postal_code": "030496202",
            "telephone_number": "603-493-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W CUMMINGS PARK STE 2550",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016500",
            "telephone_number": "781-376-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRATMAN",
        "first_name": "KELLY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "067945-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "NELSON",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woburn, MA

Sources for this page

Verify at the official NPI Registry.