KRISTIN JENNIFER HENNESSEY (FNP) – Family Nurse Practitioner, NPI 1851643969

KRISTIN JENNIFER HENNESSEY (FNP) is a healthcare provider. based in Mattapan, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. RN2282063 (MA). The NPI Number for KRISTIN JENNIFER HENNESSEY (FNP) is 1851643969

Main info

Female
11 Years Of Experience
Name
KRISTIN JENNIFER HENNESSEY (FNP)
NPI
1851643969
Phone
(617) 533-2300
Address
1135 MORTON ST
Enumeration Date
12 October 2012
Last Update Date
2 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
8123338001
Professional Enrollment ID
I20151104002612
Address ID
MA018050001BU41XXXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:13State licenses:2Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for KRISTIN JENNIFER HENNESSEY (FNP)

  • 1135 MORTON ST

    MATTAPAN, MA 021262834

    Phone: (617) 533-2300

    Fax: (617) 533-2341

    Type: Mailing

  • 398 NEPONSET AVE

    DORCHESTER, MA 021223134

    Phone: (617) 282-3200

    Fax: (617) 282-8201

    Type: Location

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: 2015-11-04

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
I20151104002612INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes229183$0
99213Established patient office or other outpatient visit, 20-29 minutes10497$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7979$0
81002Urinalysis, manual test2824$0
G0008Administration of influenza virus vaccine2323$0
View full utilization report →

Insurance plans in this area (ZIP 02126)

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Reviews

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Frequently asked questions

Is KRISTIN JENNIFER HENNESSEY (FNP) listed with a National Provider Identifier?
Yes — KRISTIN JENNIFER HENNESSEY (FNP) has NPI 1851643969 on file in the registry.
Is KRISTIN JENNIFER HENNESSEY (FNP) still an active registrant?
KRISTIN JENNIFER HENNESSEY (FNP) carries an active NPI according to the public dataset.
What clinical focus is listed for KRISTIN JENNIFER HENNESSEY (FNP)?
At a glance, KRISTIN JENNIFER HENNESSEY (FNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with KRISTIN JENNIFER HENNESSEY (FNP)?
Directory geography for KRISTIN JENNIFER HENNESSEY (FNP) centers on Mattapan, Massachusetts.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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