Individual provider Active NPI

Kristiane N Proto, MSN,APRN,FNP-BC

  • Family Nurse Practitioner
  • New Haven, CT
National Provider Identifier
1548418080
Registry record updated Sep 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
003865 Issued in CT
Practice address
200 Orchard St
Suite 207
New Haven, CT 06511-5363
Phone
(203) 777-6730
NPI assigned
Sep 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2017

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 003865 CT Primary

Addresses

Primary practice location

200 Orchard St
Suite 207
New Haven, CT 06511-5363

Mailing address

C/O Northeast Medical Group, Inc.
226 Mill Hill Ave., 3Rd Floor
Bridgeport, CT 06610-2826
Phone (203) 259-7871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20100609000089 CT Practitioner - Nurse Practitioner 5799814620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

52 Beach Rd
Suite 102
Fairfield, CT 06824-6017
Phone (203) 259-7871

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
003865CTMDSpeech-Language Pathologist
3865CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Nov 30, 2015 Accepting new patients

Locations

226 Mill Hill Ave
Ste 3
Bridgeport, CT 06610
Phone (203) 384-3394

226 Mill Hill Ave
Bridgeport, CT 06610
Phone (203) 384-3235

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

52 Beach Rd
Ste 107
Fairfield, CT 06824
Phone (203) 254-1663

1152 Kings Highway Cutoff
Fairfield, CT 06824
Phone (203) 256-5500

52 Beach Rd
Ste 102
Fairfield, CT 06824
Phone (203) 256-9905

1952 Whitney Ave
Ste 14
Hamden, CT 06517
Phone (203) 766-4444

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

Interoperability endpoints

  • Direct secure messaging: kproto28940@direct.ynhh.org

Organizations & group practices 1

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 2

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": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504656000000",
    "number": "1548418080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/O NORTHEAST MEDICAL GROUP, INC.",
            "address_2": "226 MILL HILL AVE., 3RD FLOOR",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102826",
            "telephone_number": "203-259-7871",
            "fax_number": "203-254-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ORCHARD ST",
            "address_2": "SUITE 207",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115363",
            "telephone_number": "203-777-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROTO",
        "first_name": "KRISTIANE",
        "middle_name": "N",
        "credential": "MSN,APRN,FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2017-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "003865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.