Individual provider Active NPI

Kirsten Butkovsky, CRNA/APRN

  • Certified Registered Nurse Anesthetist
  • New London, NH
National Provider Identifier
1497851281
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
090511-23 Issued in NH
Practice address
273 County Rd
New London, NH 03257-5736
Phone
(603) 526-2911
NPI assigned
Sep 16, 2006
Last updated
Jan 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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 070083 CT
Certified Registered Nurse Anesthetist 367500000X 090511-23 NH Primary

Addresses

Primary practice location

273 County Rd
New London, NH 03257-5736

Mailing address

PO Box 7304
Wilton, CT 06897-7304
Phone (203) 834-2847

Other practice location 1

100 McGregor St
Manchester, NH 03102-3770
Phone (603) 668-3545

Other practice location 2

252 Mountain Rd
Wilton, CT 06897-1528
Phone (203) 834-2847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY, NH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040223000180 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294621892 Reassigns benefits to 4 organizations
I20110906000564 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294621892 Reassigns benefits to 5 organizations
I20230405001825 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294621892 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Granite State Anesthesia Partners, LLCGroup PAC ID 6709315708, 41 clinicians
Singular Anesthesia Services PLLCGroup PAC ID 7618284092, 72 clinicians

Practice addresses (Care Compare)

100 McGregor St
Manchester, NH 03102-3730
Phone (800) 437-9666

55 Palmer Ave
Bronxville, NY 10708-3403
Phone (914) 787-1000

75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3003CTMDSurgical Physician Assistant
070083CTMDCertified Registered Nurse Anesthetist
090511-23NHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince Apr 8, 2024 Accepting new patients
Matrix Pathology and Laboratory Services PLLC Current Accepting new patients
Champlain Valley Physicians Hospital Medical Center CurrentSince Jan 23, 2017 Accepting new patients
Weill Medical College of Cornell CurrentSince Feb 22, 2016 Accepting new patients
Stamford Health Medical Group Inc CurrentSince Mar 1, 2020 Accepting new patients
Weill Medical College of Cornell Nurse Anesthetist, Certified Registered CurrentSince Feb 22, 2016 Accepting new patients
Stamford Anesthesiology Services, PC CurrentSince Aug 13, 2013 Accepting new patients
Albany Medical College CurrentSince Nov 15, 2023 Accepting new patients
Albany Medical College Current Accepting new patients
Woodland Anesthesia Associates PC CurrentSince Feb 5, 2018 Accepting new patients
Resource Anesthesiology Associates of CT PC Nurse Anesthetist, Certified Registered CurrentSince Dec 10, 2021 Accepting new patients
Albany Medical College Nurse Anesthetist, Certified Registered CurrentSince Nov 15, 2023 Accepting new patients
Albany Medical College Current Accepting new patients
Anesthesia Care Group PC CurrentSince Feb 17, 2023 Accepting new patients
The New London Hospital Association, Inc. CurrentSince Jan 4, 2024 Accepting new patients
Granite State Anesthesia Partners, LLC CurrentSince Feb 27, 2025 Accepting new patients
The New London Hospital Association, Inc. CurrentSince Jan 4, 2024 Accepting new patients
Albany Medical College Nurse Anesthetist, Certified Registered CurrentSince Nov 15, 2023 Accepting new patients
Singular Anesthesia Services, PLLC CurrentSince Jul 24, 2019 Accepting new patients
Long Island Anesthesia Physicians LLP CurrentSince Jan 1, 2013 Accepting new patients
Westport Anesthesia Associates Nurse Anesthetist, Certified Registered Past Accepting new patients
Griffin Anesthesia Associates PC Past Accepting new patients
NM Anesthesia Associates, PC Past Accepting new patients
Hartford Anesthesiology Associates, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Hospitalist Medicine Physicians of New York - Patchogue PC Past Accepting new patients
Wilton Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
The New London Hospital Association, Inc. Past Accepting new patients
South Bay Anesthes Assoc., LLP Past Accepting new patients

Locations (25 of 26)

701 Cottage Grove Rd
Ste F230
Bloomfield, CT 06002
Phone (860) 243-5569

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

32 Strawberry Hill Ct
Stamford, CT 06902
Phone (203) 276-2000

5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

539 Danbury Rd
Wilton, CT 06897
Phone (203) 834-7700

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

100 McGregor St
Ste C234
Manchester, NH 03102
Phone (603) 663-6180

88 McGregor St
Ste 303
Manchester, NH 03102
Phone (603) 647-9325

273 County Rd
New London, NH 03257
Phone (603) 526-5215

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

47 New Scotland Ave
#131
Albany, NY 12208
Phone (518) 262-4300

55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136

117 Marys Ave
Ste 201
Kingston, NY 12401
Phone (845) 331-8146

26 Pearl St
Kingston, NY 12401
Phone (845) 331-8222

301 Hurley Ave
Kingston, NY 12401
Phone (845) 309-7597

33 Grand St
Kingston, NY 12401
Phone (845) 338-1535

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

170 William St
New York, NY 10038
Phone (212) 238-0100

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

325 Founders Way
Poughkeepsie, NY 12603
Phone (845) 473-6144

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

226 Westchester Ave
White Plains, NY 10604
Phone (914) 437-9910

984 N Broadway
Ste 501
Yonkers, NY 10701
Phone (914) 636-1700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

Organizations & group practices 28

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.

View all 28

Hospital & facility affiliations 7

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1497851281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7304",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068977304",
            "telephone_number": "203-834-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 COUNTY RD",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032575736",
            "telephone_number": "603-526-2911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 McGregor St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031023770",
            "country_code": "US",
            "telephone_number": "603-668-3545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "252 Mountain Rd",
            "address_purpose": "LOCATION",
            "city": "Wilton",
            "state": "CT",
            "postal_code": "068971528",
            "country_code": "US",
            "telephone_number": "203-834-2847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTKOVSKY",
        "first_name": "KIRSTEN",
        "credential": "CRNA/APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "070083",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "090511-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.