MRS. KRISTY POULLIOT (FNP-BC) – Nurse Practitioner, NPI 1689183014
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
8,972 NURSE PRACTITIONER in MA
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Provider Addresses for MRS. KRISTY POULLIOT (FNP-BC)
PO BOX 415348
BOSTON, MA 022415348
Phone: (800) 225-8885
Fax: (508) 334-1977
Type: Mailing
554, Talcottville Road, Vernon, Tolland County, Connecticut, 06066, United States
VERNON, CT 060662310
Phone:
Type: Mailing
UMASS Memorial Medical Center University Campus Hospital, 55, Lake Avenue North, Worcester, Worcester County, Massachusetts, 01653, United States
WORCESTER, MA 016550002
Phone: (508) 334-2731
Fax: (774) 442-4672
Type: Location
171 MAIN ST STE 203B
ASHLAND, MA 017211187
Phone: (508) 881-3029
Fax: (508) 881-1752
Type: Mailing
29 HUDSON RD STE 3310
SUDBURY, MA 017761753
Phone: (978) 443-8810
Fax: (978) 443-8839
Type: Location
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 $162.
Total Amount is formed as General ($162) + Research ($0) + Ownership ($0) = $162.
Last reported payment date: 2023-11-16 • Largest payer in this snapshot: Sage Therapeutics, Inc. ($96).
Total Amount
$162
General + Research + Ownership
Payments
2
Total payment records
General Amount
$162
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sage Therapeutics, Inc. | $96 |
| Novo Nordisk Inc | $66 |
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: 2019-06-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20171226001805 | I | Nurse Practitioner | CT | TBD |
| I20190603000326 | I | Nurse Practitioner | MA | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 63 | 56 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 39 | 37 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 37 | 33 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 22 | 22 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 13 | 13 | $0 |
Insurance plans in this area (ZIP 02241)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MA | |
| Internal Medicine | MA | |
| Internal Medicine | MA | |
| Nurse Practitioner | MA | |
| Internal Medicine | MA | |
| - | MA | |
| Nurse Practitioner | MA | |
| Family Practice | MA | |
| - | MA | |
| Internal Medicine | MA |
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