Individual provider Active NPI

Kristina Jean Brown, FNP-BC

  • Family Nurse Practitioner
  • Derry, NH
National Provider Identifier
1730530908
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2265833 Issued in MA
Practice address
85 W Broadway Ste 200
Derry, NH 03038-2370
Phone
(603) 475-3435
NPI assigned
Jun 28, 2016
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14061927-4405 UT
Family Nurse Practitioner 363LF0000X RN806181 PA
Family Nurse Practitioner 363LF0000X 880757 NV
Family Nurse Practitioner 363LF0000X C-APN.0102558-C-NP CO
Family Nurse Practitioner 363LF0000X 101.0136817 VT
Family Nurse Practitioner 363LF0000X CNP231706 ME
Family Nurse Practitioner 363LF0000X A180646 IA
Family Nurse Practitioner 363LF0000X LG0011791 DE
Family Nurse Practitioner 363LF0000X RN2265833 MA Primary
Family Nurse Practitioner 363LF0000X 072853-23 NH
Family Nurse Practitioner 363LF0000X 12.014073 CT
Family Nurse Practitioner 363LF0000X 80673 NM
Family Nurse Practitioner 363LF0000X 24191905 VA

Addresses

Primary practice location

85 W Broadway Ste 200
Derry, NH 03038-2370

Mailing address

84 W Broadway Ste 200
Derry, NH 03038-2323

Other practice location 1

20 Foundry St Fl 2
Concord, NH 03301-5419
Phone (888) 731-8994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH, DE, NY, CT, ME, VT, NM, VA, PA, FL, NJ12 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 12

Enrollment IDStateProvider typePAC IDDetails
I20180403000631 MA Practitioner - Nurse Practitioner 9234491283 Reassigns benefits to 1 organization
I20210928002221 NH Practitioner - Nurse Practitioner 9234491283 Reassigns benefits to 4 organizations
I20220603002275 DE Practitioner - Nurse Practitioner 9234491283 Reassigns benefits to 4 organizations
I20250224000980 NY Practitioner - Nurse Practitioner 9234491283 Reassigns benefits to 1 organization
I20250303000586 CT Practitioner - Nurse Practitioner 9234491283 Reassigns benefits to 2 organizations
I20250303001403 ME Practitioner - Nurse Practitioner 9234491283 Reassigns benefits to 4 organizations
I20250303001714 VT Practitioner - Nurse Practitioner 9234491283 Reassigns benefits to 4 organizations
I20250605003880 NM Practitioner - Nurse Practitioner 9234491283 Reassigns benefits to 4 organizations
I20250618002648 VA Practitioner - Nurse Practitioner 9234491283 Reassigns benefits to 3 organizations
I20250805003044 PA Practitioner - Nurse Practitioner 9234491283 Reassigns benefits to 3 organizations
I20260107001315 FL Practitioner - Nurse Practitioner 9234491283 Reassigns benefits to 3 organizations
I20260316003359 NJ Practitioner - Nurse Practitioner 9234491283 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Visavis Health Care Medical Group of CT LLCGroup PAC ID 1355700170, 11 clinicians
Dr Rebman Medical PAGroup PAC ID 3678087400, 88 clinicians
Ivy Medical Group PLLCGroup PAC ID 4981097797, 120 clinicians
Visavis Health Care Medical Group of Ma PLLCGroup PAC ID 5092162966, 13 clinicians
Daniel Funsch Jr MD PCGroup PAC ID 1951801836, 139 clinicians
Visavis Health Care Medical Group of NH LLCGroup PAC ID 1355796111, 10 clinicians
Lumina Care Medical NJ LLCGroup PAC ID 6608305156, 60 clinicians

Practice addresses (Care Compare)

1 Emily Way
West Hartfrd, CT 06107-3136
Phone (212) 734-6621

100 Abbeyville Rd
Lancaster, PA 17603-4604
Phone (212) 734-6621

103 Hospital Loop NE
Albuquerque, NM 87109-2115
Phone (212) 734-6621

11 Dairy LN
Fredericksburg, VA 22405-2663
Phone (212) 734-6621

15 Kirkbride Dr
Danvers, MA 01923-6011
Phone (929) 491-7333

1507 S Tuttle Ave
Sarasota, FL 34239-2608
Phone (212) 734-6621

20 Maitland St
Concord, NH 03301-3534
Phone (603) 224-1319

25 E Lindsley Rd
Cedar Grove, NJ 07009-1023
Phone (212) 734-6621

300 Spring St
Westbrook, ME 04092-3915
Phone (212) 734-6621

596 Sheldon Rd
Saint Albans, VT 05478-8011
Phone (212) 734-6621

715 E King St
Seaford, DE 19973-3505
Phone (929) 491-7333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-APN.0102558-C-NPCOMDFamily Nurse Practitioner
12.014073CTMDFamily Nurse Practitioner
LG0011791DEMDFamily Nurse Practitioner
A180646IAMDFamily Nurse Practitioner
RN2265833MAMDFamily Nurse Practitioner
80673NMMDFamily Nurse Practitioner
880757NVMDFamily Nurse Practitioner
RN806181PAMDFamily Nurse Practitioner
14061927-4405UTMDFamily Nurse Practitioner
24191905VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Visavis Health Care Medical Group of Ma PLLC CurrentSince May 30, 2025 Accepting new patients
Dr Rebman BH LLC CurrentSince Dec 25, 2025 Accepting new patients
Visavis Health Care Medical Group of de PA CurrentSince May 30, 2025 Accepting new patients
Visavis Health Care Medical Group of CT LLC CurrentSince May 30, 2025 Accepting new patients
Daniel Funsch Jr, M.D., P.C. CurrentSince Oct 27, 2025 Accepting new patients
Visavis Health Care Medical Group of VT PLLC CurrentSince May 30, 2025 Accepting new patients
Visavis Health Care Medical Group of VA LLC CurrentSince May 30, 2025 Accepting new patients
Visavis Health Care Medical Group of NM LLC CurrentSince May 30, 2025 Accepting new patients
Visavis Health Care Medical Group of Pennsylvania PLLC CurrentSince Jul 22, 2025 Accepting new patients
Dr Rebman Medical PA CurrentSince Nov 1, 2025 Accepting new patients
Visavis Health Care Medical Group of Me PLLC CurrentSince May 30, 2025 Accepting new patients
Ivy Medical Group PLLC CurrentSince Dec 1, 2024 Accepting new patients
Dr Vezza Medical Services PC CurrentSince Dec 21, 2024 Accepting new patients
Visavis Health Care Medical Group of NH LLC CurrentSince May 30, 2025 Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

1 Emily Way
West Hartfrd, CT 06107
Phone (860) 561-7022

715 E King St
Seaford, DE 19973
Phone (302) 536-5628

633 NE 167th St
Ste 301
North Miami Beach, FL 33162

1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336

15 Kirkbride Dr
Danvers, MA 01923
Phone (978) 558-4120

300 Spring St
Westbrook, ME 04092
Phone (207) 856-1230

20 Maitland St
Concord, NH 03301
Phone (516) 817-7093

103 Hospital Loop NE
Albuquerque, NM 87109
Phone (505) 348-8300

831 Bedford Ave
Brooklyn, NY 11205

885 3rd Ave
Fl 28
New York, NY 10022
Phone (929) 650-3990

100 Abbeyville Rd
Lancaster, PA 17603
Phone (717) 397-4261

30 West Ave
Wayne, PA 19087
Phone (610) 688-3235

7300 State Highway 121
Ste 300
McKinney, TX 75070
Phone (214) 937-0278

7300 State Highway 121
Ste 300374
McKinney, TX 75070

11 Dairy Ln
Fredericksburg, VA 22405
Phone (540) 371-9414

596 Sheldon Rd
Saint Albans, VT 05478
Phone (802) 524-6534

105 Chester Rd
Springfield, VT 05156
Phone (802) 885-5741

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1730530908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 W BROADWAY STE 200",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030382323",
            "fax_number": "534-429-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 W BROADWAY STE 200",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030382370",
            "telephone_number": "603-475-3435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Foundry St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033015419",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KRISTINA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "14061927-4405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "RN806181",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "880757",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0102558-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0136817",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP231706",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A180646",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG0011791",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2265833",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "072853-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12.014073",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "80673",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "24191905",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

Verify at the official NPI Registry.