KARIN VERNA NYSTROM (APRN) – Clinical Nurse Specialist, NPI 1710978275

KARIN VERNA NYSTROM (APRN) is a healthcare provider. based in New haven, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 002154 (CT). The NPI Number for KARIN VERNA NYSTROM (APRN) is 1710978275

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
KARIN VERNA NYSTROM (APRN)
NPI
1710978275
Phone
(203) 785-4085
Address
40 TEMPLE ST
Enumeration Date
3 November 2005
Last Update Date
17 March 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2037852140
Graduation Year
1995 (31 years ago)
PAC ID
9335168293
Group Practice PAC ID
9436061736
Professional Enrollment ID
I20051121000478
Address ID
CT065191369NE800XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,219 NURSE PRACTITIONER in CT

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Provider Addresses for KARIN VERNA NYSTROM (APRN)

  • 40, Temple Street, Downtown, New Haven, New Haven County, Connecticut, 06510-2404, United States

    SUITE 6-C

    NEW HAVEN, CT 065102715

    Phone: (203) 785-4085

    Fax: (203) 737-1597

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-11-21

PECOS data refreshed: 2026-06-15

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
I20051121000478INurse 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 06510)

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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: 9436061736View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)CT
H E M A T O L O G Y/ O N C O L O G YCT
-CT
-NC
Internal MedicineCT
-CT
-CT
-CT
Physician AssistantCT
-CT

Reviews

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Frequently asked questions

What unique ID ties claims to KARIN VERNA NYSTROM (APRN)?
NPI 1710978275 is assigned to KARIN VERNA NYSTROM (APRN) under the national enumeration system.
Is KARIN VERNA NYSTROM (APRN)'s NPI currently valid?
The extract we use shows KARIN VERNA NYSTROM (APRN) as active.
Does KARIN VERNA NYSTROM (APRN) list a primary specialty?
If you are matching referrals, note Clinical Nurse Specialist for KARIN VERNA NYSTROM (APRN). Clinical services aligned with this taxonomy classification.
Where is KARIN VERNA NYSTROM (APRN)'s primary listing?
We display New Haven, Connecticut because that is what the record indicates for KARIN VERNA NYSTROM (APRN).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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