Individual provider Active NPI

Kristen Paskewich, CRNA

  • Certified Registered Nurse Anesthetist
  • Hartford, CT
National Provider Identifier
1841692787
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
6068 Issued in CT
Practice address
80 Seymour St
Hartford, CT 06106-3315
Phone
(860) 972-2117
Fax
(860) 545-1784
NPI assigned
Sep 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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 6068 CT Primary

Addresses

Primary practice location

80 Seymour St
Hartford, CT 06106-3315

Mailing address

99 E River Dr
5TH Floor
East Hartford, CT 06108-3288
Phone (860) 282-4133

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150409000383 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991023608 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Willimantic, PCGroup PAC ID 2163506353, 46 clinicians

Practice addresses (Care Compare)

1185 Main St
Willimantic, CT 06226-2093
Phone (860) 423-7558

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6068CTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Charter Anesthesiology LLC CurrentSince Sep 1, 2022 Accepting new patients
Integrated Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 9, 2015 Accepting new patients
Anesthesia Associates of Willimantic PC CurrentSince Apr 12, 2016 Accepting new patients

Locations (25 of 31)

100 Simsbury Rd
Ste 206
Avon, CT 06001
Phone (860) 676-4820

580 Cottage Grove Rd
Bloomfield, CT 06002
Phone (860) 243-8709

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

765 W Johnson Ave
Cheshire, CT 06410
Phone (860) 378-8228

499 Farmington Ave
Ste 220
Farmington, CT 06032
Phone (860) 676-8111

2 Batterson Park Rd
Farmington, CT 06032
Phone (844) 467-3483

330 Western Blvd
Ste 102
Glastonbury, CT 06033
Phone (860) 547-0306

148 Eastern Blvd
Ste 102
Glastonbury, CT 06033
Phone (860) 246-8568

60 Washington Ave
Ste 201
Hamden, CT 06518
Phone (203) 230-2939

99 E River Dr
Fl 5
Hartford, CT 06108
Phone (860) 282-4022

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

388 W Center St
Bldg A
Manchester, CT 06040
Phone (860) 649-1120

4 Shaws Cv
Ste 204
New London, CT 06320
Phone (860) 447-2377

120 Park Lane Rd
Ste B202
New Milford, CT 06776
Phone (860) 210-0082

52 Washington Ave
Ste 1
North Haven, CT 06473
Phone (203) 234-7727

37 Kennedy Dr
Ste C
Putnam, CT 06260
Phone (860) 423-7558

2 Trap Falls Rd
Ste 414
Shelton, CT 06484
Phone (860) 282-4128

2600 Tamarack Ave
#200
South Windsor, CT 06074
Phone (860) 646-1157

2400 Tamarack Ave
Ste 100
South Windsor, CT 06074
Phone (860) 644-7336

1131 West St
Ste 2
Southington, CT 06489
Phone (860) 276-6800

2600 Post Rd
Southport, CT 06890
Phone (203) 255-4005

245 Alvord Park Rd
Torrington, CT 06790
Phone (860) 482-8539

115 Technology Dr
Unit B107
Trumbull, CT 06611
Phone (203) 268-2239

5000 Main St
Trumbull, CT 06611
Phone (203) 374-0404

Organizations & group practices 3

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": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1841692787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 E RIVER DR",
            "address_2": "5TH FLOOR",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083288",
            "telephone_number": "860-282-4133",
            "fax_number": "860-289-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063315",
            "telephone_number": "860-972-2117",
            "fax_number": "860-545-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASKEWICH",
        "first_name": "KRISTEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "6068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.