Individual provider Active NPI

Kristen Russell, FNP-C, RNFA

  • Family Nurse Practitioner
  • North Dartmouth, MA
National Provider Identifier
1780060889
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2286989 Issued in MA
Practice address
300A Faunce Corner Rd
North Dartmouth, MA 02747-1280
Phone
(508) 973-2211
Fax
(508) 973-1105
NPI assigned
Jul 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2286989 MA Primary

Addresses

Primary practice location

300A Faunce Corner Rd
North Dartmouth, MA 02747-1280

Mailing address

200 Mill Rd Ste 180
Fairhaven, MA 02719-5255
Phone (508) 973-2000

Other names 1

  • Kristen Fitzpatrick, Meiggs Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmeiggs36842@direct.southcoast.org

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
I20150916002551 MA Practitioner - Nurse Practitioner 7719294156 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians of Falmouth HospitalGroup PAC ID 6800051970, 92 clinicians

Practice addresses (Care Compare)

100 Ter Heun Dr
Falmouth, MA 02540-2503
Phone (508) 771-1800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Cod Hospital Inc Current Accepting new patients
Carecentral Urgent Care Medical Group PC CurrentSince Nov 1, 2020 Accepting new patients
Carecentral Urgent Care Medical Group PC CurrentSince Nov 1, 2020 Accepting new patients
Afc Physicians of Massachusetts, PC CurrentSince Sep 1, 2018 Accepting new patients
Community Nurse, Inc. CurrentSince Mar 28, 2024 Accepting new patients
Physicians of Falmouth Hospital CurrentSince Jun 14, 2021 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jun 3, 2018 Accepting new patients
Physicians of Cape Cod Hospital CurrentSince May 14, 2022 Accepting new patients
First Physicians Corporation CurrentSince Oct 1, 2017 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jun 3, 2018 Accepting new patients

Locations

233 Broad St
Bridgewater, MA 02324
Phone (508) 697-2564

370 Providence Hwy
Dedham, MA 02026
Phone (781) 461-0200

200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000

62 Center St
Fairhaven, MA 02719
Phone (508) 992-6278

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

387 Quarry St
Ste 100
Fall River, MA 02723
Phone (508) 679-8111

100 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-3501

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

41 State Rd
North Dartmouth, MA 02747
Phone (508) 990-1217

535 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 961-0606

300A Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 973-2213

371 Broadway
Saugus, MA 01906
Phone (781) 233-1000

286 Washington St
Stoughton, MA 02072
Phone (781) 341-2800

2421 Cranberry Hwy
Ste 202
Wareham, MA 02571
Phone (508) 973-1816

43 High St
Wareham, MA 02571
Phone (508) 273-4200

Interoperability endpoints

  • Direct secure messaging: krussell43676@direct.capecodhealthcare.masshiway.net
  • Direct secure messaging: kmeiggs36842@direct.southcoast.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1780060889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MILL RD STE 180",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195255",
            "telephone_number": "508-973-2000",
            "fax_number": "508-973-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300A FAUNCE CORNER RD",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027471280",
            "telephone_number": "508-973-2211",
            "fax_number": "508-973-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "KRISTEN",
        "credential": "FNP-C, RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-31",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2286989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmeiggs36842@direct.southcoast.org",
            "affiliation": "N",
            "endpointDescription": "Southcoast Health Epic Direct Address",
            "address_1": "300A Faunce Corner Rd",
            "city": "North Dartmouth",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027471280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "FITZPATRICK, MEIGGS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.