KEVIN CHARLES KING (APRN) – Family Nurse Practitioner, NPI 1285316885

KEVIN CHARLES KING (APRN) is a healthcare provider. based in Watertown, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 12180 (CT). The NPI Number for KEVIN CHARLES KING (APRN) is 1285316885

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN CHARLES KING (APRN)
NPI
1285316885
Phone
(860) 274-8891
Address
380 MAIN ST
Enumeration Date
2 August 2023
Last Update Date
2 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2035293271
Graduation Year
2023 (3 years ago)
PAC ID
7911497466
Group Practice PAC ID
9739663105
Professional Enrollment ID
I20251104003013
Address ID
CT064773506OR521XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

4,191 NURSE PRACTITIONER in CT

Provider Addresses for KEVIN CHARLES KING (APRN)

  • 380 MAIN ST

    WATERTOWN, CT 067952260

    Phone: (860) 274-8891

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $61.

Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.

Last reported payment date: 2024-06-26 • Largest payer in this snapshot: Corcept Therapeutics ($61).

Total Amount

$61

General + Research + Ownership

Payments

2

Total payment records

General Amount

$61

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Corcept Therapeutics$61
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251104003013INurse PractitionerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06795)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739663105View full group profile
NameSpecialtyState
Physician AssistantCT
Nurse PractitionerCT
Nurse PractitionerCT
Physician AssistantCT
Nurse PractitionerCT
Nurse PractitionerCT
Nurse PractitionerCT
Nurse PractitionerCT
Physician AssistantCT
Physician AssistantTN

Reviews

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Frequently asked questions

Does KEVIN CHARLES KING (APRN) have a public NPI I can cite?
Public records show KEVIN CHARLES KING (APRN) under NPI 1285316885.
Is KEVIN CHARLES KING (APRN)'s NPI status active today?
Active status means KEVIN CHARLES KING (APRN)'s NPI record is not deactivated in the public file.
What services align with KEVIN CHARLES KING (APRN)'s listing?
KEVIN CHARLES KING (APRN)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to KEVIN CHARLES KING (APRN)?
The directory associates KEVIN CHARLES KING (APRN) with Watertown, Connecticut. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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