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KRISTIN K. WICKSTROM PA
NPI 1053461632
Physician Assistant in Barre, MA

Active since January 12, 2007PECOS EnrolledAccepts Medicare Assignment
151 WORCESTER RD, BARRE FAMILY HEALTH CENTER, BARRE, MA 01005(978) 355-6321(978) 355-6329 Get Directions Write a Review

NPPES record last updated: October 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristin K. Wickstrom Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTIN K. WICKSTROM PA (NPI 1053461632) is an individual physician assistant in Barre, Massachusetts, licensed in Massachusetts (PA2210) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1053461632
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRISTIN K. WICKSTROMCredential: PA
Location Address151 WORCESTER RD, BARRE FAMILY HEALTH CENTERBarre, MA 01005-9002
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Phone(978) 355-6321
Fax(978) 355-6329
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 12, 2007
Last NPPES UpdateOctober 24, 2020
NPPES CertifiedOctober 24, 2020
✔ NPI 1053461632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MA · PA2210
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
151 WORCESTER RD, Barre, MA 01005
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristin K. Wickstrom Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163526393
PECOS Enrollment IDI20070328000538
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
255 services155 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
117 services101 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
18 services16 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01005 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAMELA L. GRIMALDI D.O.
Family Medicine
151 WORCESTER RD
BARRE, MA 01005
Worcester County (978) 355-6321
EFROSINI KONOMI PA-C
Physician Assistant
151 WORCESTER RD
BARRE, MA 01005
Worcester County (978) 355-6321
MR. RANDAL WILLIAMS MA
Student in an Organized Health Care Education/Training Program
151 WORCESTER RD
BARRE, MA 01005
Worcester County (978) 355-9222
JULIA FLEET D.O.
Family Medicine
151 WORCESTER RD
BARRE, MA 01005
Worcester County (978) 355-6321
SARAH YODER MD
Student in an Organized Health Care Education/Training Program
151 WORCESTER RD
BARRE, MA 01005
Worcester County (508) 334-1008
BRETT C LEHNER MD
Family Medicine
151 WORCESTER RD
BARRE, MA 01005
Worcester County (978) 355-6321
MATTHEW ALEXANDER MORROW DO
Student in an Organized Health Care Education/Training Program
151 WORCESTER RD
BARRE, MA 01005
Worcester County (508) 334-1000
TONY KEN HU DO
Student in an Organized Health Care Education/Training Program
151 WORCESTER RD
BARRE, MA 01005
Worcester County (508) 334-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristin Wickstrom's NPI number?

The NPI number for Kristin Wickstrom is 1053461632. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Kristin Wickstrom located?

Kristin Wickstrom practices at 151 Worcester Rd Barre Family Health Center, Barre, MA 01005. The listed phone number is (978) 355-6321.

What is Kristin Wickstrom's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kristin Wickstrom enrolled in Medicare?

Yes. Kristin Wickstrom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kristin Wickstrom accept?

Health plans from Anthem Blue Cross and Blue Shield list Kristin Wickstrom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kristin Wickstrom affiliated with any hospitals?

According to CMS data, Kristin Wickstrom is affiliated with Umass Memorial Healthalliance Hospitals, Umass Memorial Health - Harrington Hospital and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Kristin Wickstrom was last updated on October 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.