KRISTEN A HANNIGAN (PA-C) – Physician Assistant, NPI 1750828596

KRISTEN A HANNIGAN (PA-C) is a healthcare provider. based in Providence, Rhode Island. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA00936 (RI). The NPI Number for KRISTEN A HANNIGAN (PA-C) is 1750828596

Main info

Female
Sole Proprietor
10 Years Of Experience
Name
KRISTEN A HANNIGAN (PA-C)
NPI
1750828596
Phone
(401) 453-7950
Address
101 DUDLEY ST
Enumeration Date
31 January 2017
Last Update Date
19 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4017623838
Graduation Year
2016 (10 years ago)
PAC ID
4284902032
Group Practice PAC ID
0547322273
Professional Enrollment ID
I20170620000284
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Digital endpointsOther names

Provider Addresses for KRISTEN A HANNIGAN (PA-C)

  • 101 DUDLEY ST

    PROVIDENCE, RI 029052401

    Phone: (401) 453-7950

    Fax: (401) 453-7658

    Type: Location

  • 2109 Hartford Ave

    Johnston, RI 029193246

    Phone: (626) 319-5932

    Type: Location

  • Bakewell Court, Comstock Gardens, Cranston, Providence County, Rhode Island, 02921, United States

    CRANSTON, RI 029212412

    Phone: (401) 499-7508

    Type: Mailing

  • Atwood Medical Center, 1524, Atwood Avenue, Johnston, Providence County, Rhode Island, 02919, United States

    SUITE 220

    JOHNSTON, RI 029193228

    Phone: (401) 272-1900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $252.

Total Amount is formed as General ($252) + Research ($0) + Ownership ($0) = $252.

Last reported payment date: 2023-08-09 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($252).

Total Amount

$252

General + Research + Ownership

Payments

3

Total payment records

General Amount

$252

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-09

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: 2017-06-20

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
I20170620000284IPhysician AssistantRITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes162123$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report4441$0
View full utilization report →

Insurance plans in this area (ZIP 02905)

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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: 0547322273View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Interventional CardiologyRI
Nurse PractitionerRI
Physician AssistantPA
Cardiac ElectrophysiologyRI
Cardiovascular Disease (Cardiology)RI
Nurse PractitionerRI
Cardiovascular Disease (Cardiology)RI
Cardiovascular Disease (Cardiology)RI
Physician AssistantRI
Cardiovascular Disease (Cardiology), Internal MedicineRI

Reviews

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Frequently asked questions

Is KRISTEN A HANNIGAN (PA-C) listed with a National Provider Identifier?
Yes — KRISTEN A HANNIGAN (PA-C) has NPI 1750828596 on file in the registry.
Is KRISTEN A HANNIGAN (PA-C) shown as active in public data?
Registry records indicate KRISTEN A HANNIGAN (PA-C) maintains an active NPI.
How would a patient describe KRISTEN A HANNIGAN (PA-C)'s focus?
For KRISTEN A HANNIGAN (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Is KRISTEN A HANNIGAN (PA-C) located near Providence?
KRISTEN A HANNIGAN (PA-C) currently maps to Providence, Rhode Island in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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