Krystal Mershon, FNP-BC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN2283506 Issued in MA

Practice address

725 Concord Ave Ste 3300
Cambridge, MA 02138-1055

Phone

(617) 864-8822

NPI assigned

Sep 25, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1700288388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3A CATHY RD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018031242",
            "telephone_number": "617-908-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 CONCORD AVE STE 3300",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381055",
            "telephone_number": "617-864-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERSHON",
        "first_name": "KRYSTAL",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-25",
        "last_updated": "2021-12-03",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2283506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viondy Claude Merisma
• Gergo Bela Merkely
• Lillian Merlo, M.S., BCBA, LABA
• Erin Merritt
• Kelsey Merritt
• Irene Merwin, PSY.D.
• Dmitry Grigory Merzon, D.M.D
• Kerrin Meseck, MS, RD, LDN
• Uriel Meshoulam, PH.D.
• Tamara Mesquita Assuncao

• Primary Care Nurse Practitioner in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Primary Care Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.