KRYSTA L DOUCETTE (MS, RN, AGNP-C) – Gerontology Nurse Practitioner, NPI 1962921379

KRYSTA L DOUCETTE (MS, RN, AGNP-C) is a healthcare provider. based in North andover, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials MS, RN, AGNP-C. They hold a License No. RN2280448 (MA). The NPI Number for KRYSTA L DOUCETTE (MS, RN, AGNP-C) is 1962921379

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
KRYSTA L DOUCETTE (MS, RN, AGNP-C)
NPI
1962921379
Phone
(312) 637-9861
Address
47 HIGH STREET SUITE 101
Enumeration Date
18 September 2017
Last Update Date
28 May 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
9786852460
Graduation Year
2012 (14 years ago)
PAC ID
0244505295
Group Practice PAC ID
8628102928
Professional Enrollment ID
I20171002002448
Address ID
MA018243429CH290XXRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for KRYSTA L DOUCETTE (MS, RN, AGNP-C)

  • 47 HIGH STREET SUITE 101

    NORTH ANDOVER, MA 018455201

    Phone: (312) 637-9861

    Fax: (770) 573-9513

    Type: Mailing

  • 290 LITTLETON RD UNIT 3

    CHELMSFORD, MA 018243429

    Phone: (978) 685-2460

    Type: Mailing

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 $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2023-02-23 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($25).

Total Amount

$38

General + Research + Ownership

Payments

2

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-10-02

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
I20171002002448INurse 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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes841149$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes398135$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes10182$0
99497Advance care planning, first 30 minutes7662$0
99316Nursing facility discharge management, more than 30 minutes3434$0
View full utilization report →

Insurance plans in this area (ZIP 01845)

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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: 8628102928View full group profile
NameSpecialtyState
Internal MedicineNY
-MA
Internal MedicineMA
Internal MedicineMA
Internal MedicineMA
Internal MedicineMA
Nurse PractitionerMA
-MA
Nurse PractitionerMA
-MA

Reviews

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Frequently asked questions

Does KRYSTA L DOUCETTE (MS, RN, AGNP-C) have a public NPI I can cite?
Public records show KRYSTA L DOUCETTE (MS, RN, AGNP-C) under NPI 1962921379.
Is KRYSTA L DOUCETTE (MS, RN, AGNP-C)'s NPI status active today?
Active status means KRYSTA L DOUCETTE (MS, RN, AGNP-C)'s NPI record is not deactivated in the public file.
What services align with KRYSTA L DOUCETTE (MS, RN, AGNP-C)'s listing?
KRYSTA L DOUCETTE (MS, RN, AGNP-C)'s public classification highlights Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to KRYSTA L DOUCETTE (MS, RN, AGNP-C)?
KRYSTA L DOUCETTE (MS, RN, AGNP-C) shows a connection to North Andover, Massachusetts in registry-derived data.
Can I export KRYSTA L DOUCETTE (MS, RN, AGNP-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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