Individual provider Active NPI

Katherine Krevolin, FNP-C

  • Family Nurse Practitioner
  • Hamden, CT
National Provider Identifier
1871149153
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8472 Issued in CT
Practice address
2200 Whitney Ave Ste 360
Hamden, CT 06518-3602
Phone
(203) 281-4463
Fax
(203) 287-2930
NPI assigned
Aug 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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 8472 CT Primary

Addresses

Primary practice location

2200 Whitney Ave Ste 360
Hamden, CT 06518-3602

Mailing address

2200 Whitney Ave Ste 360
Hamden, CT 06518-3602
Phone (203) 281-4463

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katherine.krevolin@xdr.hhchealthdirect.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20191122000063 CT Practitioner - Nurse Practitioner 5496187999 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HHC Physician Services PLLCGroup PAC ID 9537573357, 140 clinicians

Practice addresses (Care Compare)

2200 Whitney Ave
Suite 360
Hamden, CT 06518-3602
Phone (203) 281-4463

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.41 of 100Reported as group
Quality
83.74
Promoting interoperability
100
Improvement activities
40
Cost
72.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8472CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Physicians, PLLC CurrentSince Jun 1, 2020 Accepting new patients
HHC Physician Services, PLLC Family CurrentSince Jul 11, 2022 Accepting new patients
Starling Physicians PLLC CurrentSince Jun 1, 2020 Accepting new patients
HHC Physician Services, PLLC CurrentSince Jul 11, 2022 Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

533 Cottage Grove Rd
Bloomfield, CT 06002
Phone (860) 726-1455

322 E Main St
Ste 1B
Branford, CT 06405
Phone (203) 488-7228

1591 Boston Post Rd
Ste 206
Guilford, CT 06437
Phone (203) 281-3636

2200 Whitney Ave
Ste 270
Hamden, CT 06518
Phone (203) 281-4463

85 Seymour St
Hartford, CT 06106
Phone (860) 246-4029

40 Commerce Park
Milford, CT 06460
Phone (203) 878-3531

2200 Whitney Ave
Ste 360
New Haven, CT 06518
Phone (203) 281-4463

250 Indian River Rd
Ste 300
Orange, CT 06477
Phone (203) 738-7700

Organizations & group practices 4

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.

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": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1871149153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 WHITNEY AVE STE 360",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183602",
            "telephone_number": "203-281-4463",
            "fax_number": "203-287-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WHITNEY AVE STE 360",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183602",
            "telephone_number": "203-281-4463",
            "fax_number": "203-287-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREVOLIN",
        "first_name": "KATHERINE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katherine.krevolin@xdr.hhchealthdirect.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2200 Whitney Ave Ste 360",
            "city": "Hamden",
            "state": "CT",
            "country_code": "US",
            "postal_code": "065183602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.