Individual provider Active NPI

Kristina A Thompson, APRN FNP-BC

  • Nurse Practitioner
  • Boston, MA
National Provider Identifier
1871119628
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2390906 Issued in MA
Practice address
55 Fruit St
Boston, MA 02114-2621
Phone
(617) 884-8302
NPI assigned
Jun 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2390906 MA
Nurse Practitioner 363L00000X RN2390906 MA Primary
Family Nurse Practitioner 363LF0000X APRN11007401 FL

Addresses

Primary practice location

55 Fruit St
Boston, MA 02114-2621

Mailing address

5419 SW 215TH Ter
Newberry, FL 32669-5253
Phone (352) 226-9338

Other practice location 1

874 Purchase St
New Bedford, MA 02740-6232
Phone (508) 992-6553

Other practice location 2

151 Everett Ave
Chelsea, MA 02150-1812
Phone (617) 884-8302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200716000097 FL Practitioner - Nurse Practitioner 2062836604 Reassigns benefits to 1 organization
I20240530001647 MA Practitioner - Nurse Practitioner 2062836604 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Berkshire Faculty Services IncGroup PAC ID 8224068424, 276 clinicians

Practice addresses (Care Compare)

777 N St
Berkshire Surgical Services of BMC
Pittsfield, MA 01201-4147
Phone (413) 445-6420

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Faculty Services Inc CurrentSince Feb 10, 2025 Accepting new patients
Chosen Wellness Group Family CurrentSince Sep 15, 2024 Accepting new patients
Trenton Medical Center, Inc CurrentSince Jul 7, 2020 Accepting new patients
The General Hospital Corporation CurrentSince Jun 3, 2024 Accepting new patients
Trenton Medical Center Inc Current Accepting new patients
Trenton Medical Center, Inc. CurrentSince Jul 7, 2020 Accepting new patients
Fairview Hospital CurrentSince Feb 10, 2025 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Jun 3, 2024 Accepting new patients

Locations

1830 N Main St
Bell, FL 32619
Phone (352) 463-1100

23476 NW 186th Ave
High Springs, FL 32643
Phone (386) 454-0568

23343 NW County Road 236
High Springs, FL 32643

173 NW Albritton Ln
Lake City, FL 32055
Phone (386) 755-4020

911 S Main St
Trenton, FL 32693
Phone (352) 463-2374

2 Park St
Adams, MA 01220
Phone (413) 743-1080

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

151 Everett Ave
Chelsea, MA 02150
Phone (617) 884-8300

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

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.

Hospital & facility affiliations 3

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": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1871119628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 SW 215TH TER",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326695253",
            "telephone_number": "352-226-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-884-8302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "874 Purchase St",
            "address_purpose": "LOCATION",
            "city": "New Bedford",
            "state": "MA",
            "postal_code": "027406232",
            "country_code": "US",
            "telephone_number": "508-992-6553",
            "fax_number": "508-997-2498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 Everett Ave",
            "address_purpose": "LOCATION",
            "city": "Chelsea",
            "state": "MA",
            "postal_code": "021501812",
            "country_code": "US",
            "telephone_number": "617-884-8302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KRISTINA",
        "middle_name": "A",
        "credential": "APRN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2390906",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2390906",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.