KRISTEN ANN UPHAM (NP) – Family Nurse Practitioner, NPI 1235489121

KRISTEN ANN UPHAM (NP) is a healthcare provider. based in Peabody, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN2268548 (MA). The NPI Number for KRISTEN ANN UPHAM (NP) is 1235489121

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN ANN UPHAM (NP)
NPI
1235489121
Phone
(978) 740-2300
Address
2 1ST AVE
Enumeration Date
18 September 2012
Last Update Date
21 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9782565522140
Graduation Year
2012 (14 years ago)
PAC ID
2365692183
Group Practice PAC ID
5597704031
Professional Enrollment ID
I20121031000679
Address ID
MA018242878CH2XXXXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for KRISTEN ANN UPHAM (NP)

  • 2 1ST AVE

    SUITE 215

    PEABODY, MA 019604909

    Phone: (978) 740-2300

    Fax: (978) 744-3993

    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 93 Open Payments records for all available years, with a total value of $2,378.

Total Amount is formed as General ($2,378) + Research ($0) + Ownership ($0) = $2,378.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: CeQur Corporation ($513).

Total Amount

$2,378

General + Research + Ownership

Payments

93

Total payment records

General Amount

$2,378

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

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: 2012-10-31

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
I20121031000679INurse PractitionerMATBD

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 01960)

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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: 5597704031View full group profile
NameSpecialtyState
Nurse PractitionerOH
Internal MedicineMA
Nurse PractitionerMA
Internal MedicineMA
Internal MedicineMA

Reviews

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Frequently asked questions

Can I verify KRISTEN ANN UPHAM (NP) with an NPI only?
You can start verification with NPI 1235489121 for KRISTEN ANN UPHAM (NP), then check state licensing separately.
Does the file indicate KRISTEN ANN UPHAM (NP) is practicing under active NPI?
Directory data currently reports KRISTEN ANN UPHAM (NP) as active.
What is KRISTEN ANN UPHAM (NP)'s specialty?
The listing groups KRISTEN ANN UPHAM (NP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect KRISTEN ANN UPHAM (NP) on a map?
Expect Peabody, Massachusetts as a primary anchor for KRISTEN ANN UPHAM (NP) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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