Individual provider Active NPI

Bette Kisner, APRN-BC,MSN

  • Psychiatric/Mental Health Registered Nurse
  • Needham, MA
National Provider Identifier
1659326072
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
98955 Issued in MA
Practice address
163 Highland Ave # 1040
Needham, MA 02494-3025
Phone
(617) 840-3250
Fax
(617) 739-6225
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 98955 MA Primary

Addresses

Primary practice location

163 Highland Ave # 1040
Needham, MA 02494-3025

Mailing address

163 Highland Ave # 1040
Needham, MA 02494-3025
Phone (617) 840-3250

Other identifiers 1

IdentifierTypeStateIssuer
PN0250OtherMABLUE CROSS

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
I20050802001135 MA Practitioner - Certified Clinical Nurse Specialist (CNS) 4284662081 Practice locations: Canton, MA

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

275 Turnpike St
Suite 105
Canton, MA 02021-2353
Phone (781) 828-6633

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
98955MAMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1659326072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 HIGHLAND AVE # 1040",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024943025",
            "telephone_number": "617-840-3250",
            "fax_number": "617-739-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 HIGHLAND AVE # 1040",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024943025",
            "telephone_number": "617-840-3250",
            "fax_number": "617-739-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISNER",
        "first_name": "BETTE",
        "credential": "APRN-BC,MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "98955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "PN0250",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

Verify at the official NPI Registry.