Individual provider Active NPI

Kristen Kowalski, NP-C

  • Family Nurse Practitioner
  • Weymouth, MA
National Provider Identifier
1487036257
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN270678 Issued in MA
Practice address
51 Performance Dr
Weymouth, MA 02189-3141
Phone
(781) 803-1410
NPI assigned
Jun 29, 2015
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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 RN270678 MA Primary

Addresses

Primary practice location

51 Performance Dr
Weymouth, MA 02189-3141

Mailing address

386 Stanley St
Fall River, MA 02720-6009
Phone (508) 675-1054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20151009001716 MA Practitioner - Nurse Practitioner 5496063570 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atrius Health IncGroup PAC ID 4789588641, 1,214 clinicians

Practice addresses (Care Compare)

51 Performance Dr
Weymouth, MA 02189-3141
Phone (781) 682-0550

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Atrius Health, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Sep 15, 2019 Accepting new patients
Compass Medical PC CurrentSince Apr 1, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Sep 15, 2019 Accepting new patients
Atrius Health, Inc. Current Accepting new patients
Compass Medical PC CurrentSince Apr 1, 2022 Accepting new patients
Atrius Health, Inc. Past Accepting new patients

Locations

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

1 Donalds Way
Ste 102
East Bridgewtr, MA 02333
Phone (508) 350-2100

8 Commerce Blvd
Middleboro, MA 02346
Phone (774) 260-9300

54 Miller St
Ste 200
Quincy, MA 02169
Phone (617) 481-3200

152 Dean St
Bldg 3
Taunton, MA 02780
Phone (508) 824-3782

51 Performance Dr
Weymouth, MA 02189
Phone (781) 337-5555

Interoperability endpoints

  • Direct secure messaging: kkowalskinp371303@direct.atrius.masshiway.net

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

Hospital & facility affiliations 10

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": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1487036257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 STANLEY ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027206009",
            "telephone_number": "508-675-1054",
            "fax_number": "508-324-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 PERFORMANCE DR",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893141",
            "telephone_number": "781-803-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "KRISTEN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN270678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

Verify at the official NPI Registry.