Individual provider Active NPI

Krista Andberg

  • Case Manager/Care Coordinator
  • Beverly, MA
National Provider Identifier
1982974960
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
800 Cummings Ctr
Suite 266T
Beverly, MA 01915-6175
Phone
(978) 921-1190
NPI assigned
Jan 6, 2012
Last updated
Jan 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

800 Cummings Ctr
Suite 266T
Beverly, MA 01915-6175

Mailing address

199 Lafayette St
Apt 1
Salem, MA 01970-4739
Phone (508) 954-7687

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161013001634 MA Practitioner - Clinical Social Worker 2466740014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kerzner Associates PCGroup PAC ID 7012957541, 12 clinicians

Practice addresses (Care Compare)

30 Mechanic St
Foxboro, MA 02035-2041
Phone (508) 543-2133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kerzner Associates PC CurrentSince Aug 22, 2016 Accepting new patients

Locations

30 Mechanic St
Foxborough, MA 02035
Phone (508) 543-2133

30 Mechanic St
Ste 2
Foxborough, MA 02035
Phone (508) 543-2133

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1982974960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 LAFAYETTE ST",
            "address_2": "APT 1",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019704739",
            "telephone_number": "508-954-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CUMMINGS CTR",
            "address_2": "SUITE 266T",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156175",
            "telephone_number": "978-921-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDBERG",
        "first_name": "KRISTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.