KRISTEN ELIZABETH WONG (MD) – Family Medicine Physician, NPI 1174106918

KRISTEN ELIZABETH WONG (MD) is a healthcare provider. based in Warwick, Rhode Island. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. LP05393 (RI). The NPI Number for KRISTEN ELIZABETH WONG (MD) is 1174106918

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN ELIZABETH WONG (MD)
NPI
1174106918
Phone
Not provided
Address
455 TOLL GATE RD
Enumeration Date
29 April 2021
Last Update Date
19 November 2021

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4016476262
Graduation Year
2021 (5 years ago)
PAC ID
4183024698
Group Practice PAC ID
1355250663
Professional Enrollment ID
I20240919000877
Address ID
RI028570000NO35XXXWAYX401

Contacts

Secure Messaging
kewong@direct.carene.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

406 FAMILY PRACTICE in RI

Provider Addresses for KRISTEN ELIZABETH WONG (MD)

  • 455 TOLL GATE RD

    WARWICK, RI 028862759

    Phone:

    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 1 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Exact Sciences Corporation ($28).

Total Amount

$28

General + Research + Ownership

Payments

1

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2024-09-19

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
I20240919000877IFamily PracticeRITBD

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 02886)

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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: 1355250663View full group profile
NameSpecialtyState
Physician AssistantCT
-RI
Nurse PractitionerRI
Nurse PractitionerRI
Clinical PsychologistRI
-RI
Nurse PractitionerRI
Clinical PsychologistRI
Nurse PractitionerMD
Clinical Social WorkerRI

Reviews

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Frequently asked questions

What is KRISTEN ELIZABETH WONG (MD)'s NPI number?
KRISTEN ELIZABETH WONG (MD)'s NPI is 1174106918 — the number used across U.S. healthcare to identify this provider.
Would KRISTEN ELIZABETH WONG (MD) appear as active to a payer?
You can treat KRISTEN ELIZABETH WONG (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe KRISTEN ELIZABETH WONG (MD)'s focus?
For KRISTEN ELIZABETH WONG (MD), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is KRISTEN ELIZABETH WONG (MD) associated with Warwick?
Public fields place KRISTEN ELIZABETH WONG (MD) around Warwick, Rhode Island. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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