Individual provider Active NPI

Krysten Kara Goossens, PA-C

  • Physician Assistant
  • Concord, MA
National Provider Identifier
1801661624
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
54 Baker Avenue Ext Ste 200
Concord, MA 01742-2137
Phone
(978) 369-5391
NPI assigned
Nov 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

54 Baker Avenue Ext Ste 200
Concord, MA 01742-2137

Mailing address

54 Baker Avenue Ext Ste 200
Concord, MA 01742-2137
Phone (978) 369-5391

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
I20250123002158 MA Practitioner - Physician Assistant 1759810567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Affiliates IncGroup PAC ID 6103844261, 18 clinicians

Practice addresses (Care Compare)

133 Littleton Rd
Suite 104
Westford, MA 01886-3198
Phone (978) 369-5391

34 Highland CMN E
Hudson, MA 01749-2047
Phone (978) 369-5391

54 Baker Ave Ext
Suite 200
Concord, MA 01742-2137
Phone (978) 369-5391

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Affiliates Inc CurrentSince Jan 7, 2025 Accepting new patients
Emerson Hospital Current Accepting new patients

Locations

54 Baker Avenue Ext
Ste 200
Concord, MA 01742
Phone (978) 369-5391

133 Littleton Rd
Ste 104
Westford, MA 01886
Phone (978) 369-2665

Interoperability endpoints

  • Direct secure messaging: goossens.krysten.epho@direct.partners.masshiway.net

Organizations & group practices 2

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 1

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": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1801661624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 BAKER AVENUE EXT STE 200",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422137",
            "telephone_number": "978-369-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 BAKER AVENUE EXT STE 200",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422137",
            "telephone_number": "978-369-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOSSENS",
        "first_name": "KRYSTEN",
        "middle_name": "KARA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

Verify at the official NPI Registry.