Individual provider Active NPI

Kristen Baer Delaney, APRN

  • Family Nurse Practitioner
  • Enfield, CT
National Provider Identifier
1922786581
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12096 Issued in CT
Practice address
9 Cranbrook Blvd FL 2
Enfield, CT 06082-3889
Phone
(860) 749-2251
NPI assigned
Jul 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 12096 CT
Family Nurse Practitioner 363LF0000X 12096 CT Primary

Addresses

Primary practice location

9 Cranbrook Blvd FL 2
Enfield, CT 06082-3889

Mailing address

9 Cranbrook Blvd FL 2
Enfield, CT 06082-3889
Phone (860) 749-2251

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
I20230919001855 CT Practitioner - Nurse Practitioner 0244694644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Healthcare, PCGroup PAC ID 6709787930, 67 clinicians

Practice addresses (Care Compare)

925 Sullivan Ave
Suite 1
South Windsor, CT 06074-2080
Phone (860) 644-1521

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12096CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare (Sleep Lab) CurrentSince Nov 1, 2023 Accepting new patients
Prime Healthcare, PC Nurse Practitioner CurrentSince Nov 1, 2023 Accepting new patients

Locations

54 W Avon Rd
Ste 101
Avon, CT 06001
Phone (860) 673-4534

40 Dale Rd
Ste 202
Avon, CT 06001
Phone (203) 931-0034

151 Hazard Ave
Ste 9
Enfield, CT 06082
Phone (413) 785-5321

9 Cranbrook Blvd
Fl 2
Enfield, CT 06082
Phone (860) 242-8591

925 Sullivan Ave
Ste 1
South Windsor, CT 06074
Phone (860) 644-1521

30 Jordan Ln
Wethersfield, CT 06109
Phone (860) 263-0253

Interoperability endpoints

  • Direct secure messaging: kristen.delaney.1@31712.direct.athenahealth.com

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 4

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": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1922786581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CRANBROOK BLVD FL 2",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823889",
            "telephone_number": "860-749-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CRANBROOK BLVD FL 2",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823889",
            "telephone_number": "860-749-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELANEY",
        "first_name": "KRISTEN",
        "middle_name": "BAER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "12096",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

Verify at the official NPI Registry.