Individual provider Active NPI

Kathleen Kristofferson, CRNA

  • Certified Registered Nurse Anesthetist
  • Milford, MA
National Provider Identifier
1750356598
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
200896 Issued in MA
Practice address
14 Prospect St
Department of Anesthesia
Milford, MA 01757-3003
Phone
(508) 422-2342
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 200896 MA Primary

Addresses

Primary practice location

14 Prospect St
Department of Anesthesia
Milford, MA 01757-3003

Mailing address

16 Summer St
Rehoboth, MA 02769-2222
Phone (774) 644-7649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091103000475 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012055536 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Milford Anesthesia Consultants PCGroup PAC ID 0446671333, 43 clinicians
Atlantic Anesthesia PCGroup PAC ID 9638255300, 33 clinicians

Practice addresses (Care Compare)

14 Prospect St
Milford, MA 01757-3003
Phone (508) 422-2343

211 Park St
Attleboro, MA 02703-3143
Phone (508) 222-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200896MAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Milford Anesthesia Consultants PC CurrentSince May 1, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 30, 2018 Accepting new patients
Anesthesia Professionals, Inc. Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2010 Accepting new patients
Steward Medical Group, Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 30, 2018 Accepting new patients
Atlantic Anesthesia, P.C. CurrentSince Jan 1, 2019 Accepting new patients

Locations

138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

14 Prospect St
Milford, MA 01757
Phone (508) 422-2343

145 West St
Milford, MA 01757
Phone (508) 381-5600

100 Morse St
Norwood, MA 02062
Phone (781) 255-0362

146 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 833-6000

211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200

907 Sumner St
Ste M201
Stoughton, MA 02072

400 10th St E
Waconia, MN 55387

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1750356598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SUMMER ST",
            "city": "REHOBOTH",
            "state": "MA",
            "postal_code": "027692222",
            "telephone_number": "774-644-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PROSPECT ST",
            "address_2": "DEPARTMENT OF ANESTHESIA",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017573003",
            "telephone_number": "508-422-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISTOFFERSON",
        "first_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "200896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.