Individual provider Active NPI

Kristen Maloney, CNP

  • Family Nurse Practitioner
  • Vernon, CT
National Provider Identifier
1568853711
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN270016 Issued in MA
Practice address
357 Hartford Tpke
Vernon, CT 06066-4838
Phone
(860) 871-2102
Fax
(860) 870-0890
NPI assigned
Feb 10, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2020

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 RN270016 MA Primary

Addresses

Primary practice location

357 Hartford Tpke
Vernon, CT 06066-4838

Mailing address

357 Hartford Tpke
Vernon, CT 06066-4838
Phone (860) 871-2102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150416001145 MA Practitioner - Nurse Practitioner 3476871724 Reassigns benefits to 2 organizations
I20191107000675 CT Practitioner - Nurse Practitioner 3476871724 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7520CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Physicians PLLC CurrentSince Oct 1, 2019 Accepting new patients
Western Mass Physician Associates Inc CurrentSince Dec 1, 2024 Accepting new patients
Holyoke Medical Center, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Western Mass Physician Associates Inc Current Accepting new patients
Western Mass Physician Associates Inc CurrentSince Dec 1, 2024 Accepting new patients
Starling Physicians, PLLC CurrentSince Oct 1, 2019 Accepting new patients
Riverbend Medical Group, Inc Past Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

2110 Silas Deane Hwy
Rocky Hill, CT 06067

357 Hartford Tpke
Vernon Rockvl, CT 06066
Phone (860) 871-2102

15 Hospital Dr
Ste 50
Holyoke, MA 01040
Phone (413) 534-2826

575 Beech St
Ste 402
Holyoke, MA 01040
Phone (413) 534-2820

500 Beech St
Holyoke, MA 01040
Phone (413) 493-1640

10 Hospital Dr
Ste 306
Holyoke, MA 01040
Phone (413) 539-6830

Interoperability endpoints

  • Direct secure messaging: kristen.maloney.npi1568853711.phpct@direct.optumcare.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1568853711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 HARTFORD TPKE",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664838",
            "telephone_number": "860-871-2102",
            "fax_number": "860-870-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 HARTFORD TPKE",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664838",
            "telephone_number": "860-871-2102",
            "fax_number": "860-870-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "KRISTEN",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-10",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN270016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

Verify at the official NPI Registry.