KRISTIN MARIE MAHAN – Family Nurse Practitioner, NPI 1750663860
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,191 NURSE PRACTITIONER in CT
Provider Addresses for KRISTIN MARIE MAHAN
28 HARRIS FULLER RD
PRESTON, CT 063658201
Phone: (860) 887-9987
Type: Mailing
620 NORWICH NEW LONDON TPKE
UNCASVILLE, CT 063822156
Phone: (860) 892-8012
Fax: (860) 892-8027
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 176 Open Payments records for all available years, with a total value of $3,247.
Total Amount is formed as General ($3,247) + Research ($0) + Ownership ($0) = $3,247.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($1,125).
Total Amount
$3,247
General + Research + Ownership
Payments
176
Total payment records
General Amount
$3,247
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,125 |
| GlaxoSmithKline, LLC. | $435 |
| Phathom Pharmaceuticals, Inc. | $403 |
| Novo Nordisk Inc | $331 |
| AstraZeneca Pharmaceuticals LP | $279 |
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: 2011-11-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111104000123 | I | Nurse Practitioner | CT | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 160 | 91 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 89 | 60 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 68 | 55 | $0 |
| 81002 | Urinalysis, manual test | 42 | 36 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 36 | 28 | $0 |
Insurance plans in this area (ZIP 06365)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CT | |
| Physical Medicine And Rehabilitation | CT | |
| Nurse Practitioner | CT |
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