Active NPI
Irene-Lee Ann Klein, NP
- Family Nurse Practitioner
- Bolton, CT
National Provider Identifier
1629922133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 16694
- Practice address
- 921 Boston Tpke
Bolton, CT 06043-7479 - Phone
- (860) 646-0649
- Fax
- (860) 512-0380
- NPI assigned
- Feb 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 16694 | CT | Primary |
Addresses
Primary practice location
921 Boston Tpke
Bolton, CT 06043-7479
Mailing address
30 Jordan Lane
Wethersfield, CT 06109-1278
Phone (860) 845-0905
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260410002623 | CT | Practitioner - Nurse Practitioner | 2163997727 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prime Healthcare, PC
Practice addresses (Care Compare)
921 Boston Tpke
Suite a
Bolton, CT 06043-7479
Phone (860) 646-0649
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16694 | CT | MD | Family Nurse Practitioner |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773100800000",
"number": "1629922133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 JORDAN LANE",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061091278",
"telephone_number": "860-845-0905",
"fax_number": "860-913-2587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 BOSTON TPKE",
"city": "BOLTON",
"state": "CT",
"postal_code": "060437479",
"telephone_number": "860-646-0649",
"fax_number": "860-512-0380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "IRENE-LEE",
"middle_name": "ANN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-23",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "16694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bolton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.