Active NPI
Kristin M Schantzen, CRNA, ACNP-C
- Acute Care Nurse Practitioner
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- MA2370709
- Practice address
- 55 Fruit St
Boston, MA 02114-2696 - Phone
- (617) 726-2000
- NPI assigned
- Apr 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R1279021 | MN | |
| Acute Care Nurse Practitioner | 363LA2100X | MA2370709 | MA | Primary |
Addresses
Primary practice location
55 Fruit St
Boston, MA 02114-2696
Mailing address
8170 33Rd Ave S # 21110Q
Bloomington, MN 55425-4516
Phone (952) 883-7961
Other practice location 1
8100 Northland Dr
Bloomington, MN 55431-4800
Phone (952) 831-8742
Other practice location 2
640 Jackson St
Mail stop 11503P
Saint Paul, MN 55101-2502
Phone (651) 254-3456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36042900 | Medicaid | MN |
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
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250710003934 | MA | Practitioner - Nurse Practitioner | 4880599281 | Reassigns benefits to 2 organizations |
| I20250721002764 | MA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4880599281 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Minnesota Medical School, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Massachusetts Eye and Ear Associates, IncMassachusetts General Physicians Organization Inc
Practice addresses (Care Compare)
243 Charles St
Boston, MA 02114-3002
Phone (617) 523-7900
55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287
Hospital & facility affiliations
- Massachusetts Eye and Ear Infirmary -
- Massachusetts General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 691 | MN | MD | Professional Counselor |
| MA2370709 | MA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massachusetts General Physicians Organization Inc | Current | Accepting new patients | |
| Massachusetts Eye and Ear Associates, Inc. | Current | Accepting new patients | |
| The General Hospital Corporation | Current | Accepting new patients | |
| General Hospital Corp | Current | Accepting new patients |
Locations
243 Charles St
Boston, MA 02114
Phone (617) 523-7900
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
62 13th St
Charlestown, MA 02129
Phone (617) 724-4260
300 Crown Colony Dr
Ste 201
Quincy, MA 02169
Phone (617) 573-3135
Interoperability endpoints
- schantzen.kristin.mgh@direct.partners.masshiway.net
Organizations & group practices 8
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.
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
MA
-
- Durable Medical Equipment & Medical Supplies
- Boston, MA
- NPI 1306186523
-
- Durable Medical Equipment & Medical Supplies
- Waltham, MA
- NPI 1326766205
-
- Durable Medical Equipment & Medical Supplies
- Waltham, MA
- NPI 1942691803
-
- Ophthalmology Physician
- Providence, RI
- NPI 1598160095
-
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
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": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1821053968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 33RD AVE S # 21110Q",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554254516",
"telephone_number": "952-883-7961",
"fax_number": "952-883-5395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142696",
"telephone_number": "617-726-2000"
}
],
"practiceLocations": [
{
"address_1": "8100 Northland Dr",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "MN",
"postal_code": "554314800",
"country_code": "US",
"telephone_number": "952-831-8742",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "640 Jackson St",
"address_2": "Mail stop 11503P",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551012502",
"country_code": "US",
"telephone_number": "651-254-3456",
"fax_number": "651-254-3048",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHANTZEN",
"first_name": "KRISTIN",
"middle_name": "M",
"credential": "CRNA, ACNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R1279021",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MA",
"license": "MA2370709",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36042900",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.
- 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.