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KRISTIN A DONOVAN APRN
NPI 1104930775
Registered Nurse - Psychiatric/Mental Health in Swampscott, MA

Active since August 19, 2006Opted out of Medicare · through Oct 27, 2026
440 HUMPHREY ST, SWAMPSCOTT, MA 01907(781) 771-2473(781) 233-6225 Get Directions Write a Review

NPPES record last updated: May 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristin A Donovan Aprn NPPES

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

KRISTIN A DONOVAN APRN (NPI 1104930775) is an individual psychiatric/mental health provider in Swampscott, Massachusetts, licensed in Massachusetts (212270) and active in the NPI registry since August 2006. She has opted out of Medicare through October 27, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104930775
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameKRISTIN A DONOVANCredential: APRN
Location Address440 HUMPHREY STSwampscott, MA 01907
Mailing AddressPo Box 1004Marblehead, MA 01945 · (781) 771-2473 · Fax (781) 233-6225
Phone(781) 771-2473
Fax(781) 233-6225
Sole ProprietorNo
Enumeration DateAugust 19, 2006
Last NPPES UpdateMay 9, 2022
NPPES CertifiedMay 9, 2022
✔ NPI 1104930775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in MA · 212270
440 HUMPHREY ST, Swampscott, MA 01907
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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, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kristin A Donovan Aprn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 27, 2022 through October 27, 2026.

Opt-Out Effective DateOctober 27, 2022
Opt-Out In Effect ThroughOctober 27, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 6

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

MS. FAITH C PETERSON LICSW
Social Worker
440 HUMPHREY ST
SWAMPSCOTT, MA 01907
Essex County (781) 581-4400
DR. DEBBIE SUSAN EISEN D.M.D.
Dentist (General Practice)
440 HUMPHREY ST
SWAMPSCOTT, MA 01907
Essex County (781) 598-0040
BREAKWATER PSYCHIATRY INC.
Clinic/Center (Health Service)
440 HUMPHREY ST
SWAMPSCOTT, MA 01907
Essex County (781) 205-9496
FORGET ME KNOT MASSAGE
Massage Therapist
440 HUMPHREY ST, 2ND FLR
SWAMSCOTT, MA 01907
Essex County (781) 420-2161
HELEN L. HOCH LICSW
Social Worker (Clinical)
440 HUMPHREY ST
SWAMPSCOTT, MA 01907
Essex County (781) 581-0326
GRACE ROSSMAN COUNSELING LLC
Counselor (Mental Health)
440 HUMPHREY ST
SWAMPSCOTT, MA 01907
Essex County (413) 206-9240

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 Donovan's NPI number?

The NPI number for Kristin Donovan is 1104930775. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Kristin Donovan located?

Kristin Donovan practices at 440 Humphrey St, Swampscott, MA 01907. The listed phone number is (781) 771-2473.

What is Kristin Donovan's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Is Kristin Donovan enrolled in Medicare?

No. Kristin Donovan has opted out of Medicare through October 27, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Kristin Donovan accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Kristin Donovan 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.

When was this NPI record last updated?

The NPPES record for Kristin Donovan was last updated on May 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.