KRISTEN KIVLEN (PA-C) – Physician Assistant, NPI 1174074116

KRISTEN KIVLEN (PA-C) is a healthcare provider. based in Berlin, Vermont. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. C06245 (MD). The NPI Number for KRISTEN KIVLEN (PA-C) is 1174074116

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN KIVLEN (PA-C)
NPI
1174074116
Phone
(802) 371-4100
Address
130 FISHER RD
Enumeration Date
14 October 2016
Last Update Date
11 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
9537449889
Group Practice PAC ID
9335138817
Professional Enrollment ID
I20221206002353
Address ID
VT056020000BE246XXRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:9State licenses:4Digital endpointsOther names

385 PHYSICIAN ASSISTANT in VT

Provider Addresses for KRISTEN KIVLEN (PA-C)

  • 130 FISHER RD

    BERLIN, VT 056029516

    Phone: (802) 371-4100

    Fax: (301) 797-4234

    Type: Location

  • 17 Western Maryland Pkwy Ste 100

    Hagerstown, MD 217405471

    Phone: (301) 797-9240

    Fax: (301) 797-4234

    Type: Location

  • 17, Western Maryland Parkway, Hagerstown, Washington County, Maryland, 21740, United States

    SUITE 102

    HAGERSTOWN, MD 217405471

    Phone: (301) 797-9240

    Type: Mailing

  • 3421 CONCORD RD

    YORK, PA 174029001

    Phone: (301) 797-9240

    Fax: (301) 797-4234

    Type: Mailing

  • 17 WESTERN MARYLAND PKWY STE 100

    HAGERSTOWN, MD 217405471

    Phone: (301) 797-9240

    Fax: (301) 797-4234

    Type: Location

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 $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-11-10 • Largest payer in this snapshot: Abbott Laboratories ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$19
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: 2022-12-06

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
I20221206002353IPhysician AssistantVTTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes325231$0
99214Established patient office or other outpatient visit, 30-39 minutes200143$0
99204New patient office or other outpatient visit, 45-59 minutes4040$0
99205New patient office or other outpatient visit, 60-74 minutes3333$0
99442Telephone medical discussion with physician, 11-20 minutes2826$0
View full utilization report →

Insurance plans in this area (ZIP 05602)

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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: 9335138817View full group profile
NameSpecialtyState
Nurse PractitionerVT
-VT
Orthopedic SurgeryVT
Nurse PractitionerVT
-VT
Physician AssistantVT
Nurse PractitionerVT
Nurse PractitionerVT
Nurse PractitionerVT
Physician AssistantVT

Reviews

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Frequently asked questions

Is KRISTEN KIVLEN (PA-C) listed with a National Provider Identifier?
Yes — KRISTEN KIVLEN (PA-C) has NPI 1174074116 on file in the registry.
Is KRISTEN KIVLEN (PA-C) shown as active in public data?
Registry records indicate KRISTEN KIVLEN (PA-C) maintains an active NPI.
What area of care is associated with KRISTEN KIVLEN (PA-C)?
KRISTEN KIVLEN (PA-C)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KRISTEN KIVLEN (PA-C)?
Travel planning: use Berlin, Vermont as the reference point for KRISTEN KIVLEN (PA-C), then confirm.
What does 7 location(s) imply?
7 practice locations appear in the available data.

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