Individual provider Active NPI

Kristen Lynn Imbrescia, PA-C

  • Physician Assistant
  • Newton, MA
National Provider Identifier
1932389541
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2398 Issued in MA
Practice address
2000 Washington St Ste 341
Newton, MA 02462-1625
Phone
(617) 964-0024
Fax
(617) 964-6374
NPI assigned
Nov 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2398 MA Primary

Addresses

Primary practice location

2000 Washington St Ste 341
Newton, MA 02462-1625

Mailing address

2000 Washington St Ste 341
Newton, MA 02462-1625
Phone (617) 964-0024

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230307001790 MA Practitioner - Physician Assistant 4183860380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2000 Washington St
Suite 341
Newton, MA 02462-1625
Phone (617) 964-0024

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2398MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Wellesley Hospital Current Accepting new patients
Newton Wellesley Orthopedic Associates Inc CurrentSince Dec 2, 2022 Accepting new patients

Locations

2000 Washington St
Ste 341
Newton Lower Falls, MA 02462
Phone (617) 964-0024

Interoperability endpoints

  • Direct secure messaging: imbrescia.kristen.nwh@direct.partners.masshiway.net

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 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": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1932389541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST STE 341",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621625",
            "telephone_number": "617-964-0024",
            "fax_number": "617-964-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST STE 341",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621625",
            "telephone_number": "617-964-0024",
            "fax_number": "617-964-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMBRESCIA",
        "first_name": "KRISTEN",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "2398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.