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KRISTEN J. HYLAN FNP
NPI 1164767604
Nurse Practitioner - Family in East Providence, RI

Active since December 11, 2012PECOS EnrolledAccepts Medicare Assignment
610 WATERMAN AVE, EAST PROVIDENCE, RI 02914(401) 437-1008 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 3, 2026, Dec 18, 2025, Sep 2, 2025 and 1 more (4 updates tracked since 2021).

About Kristen J. Hylan Fnp NPPES

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

KRISTEN J. HYLAN FNP (NPI 1164767604) is an individual family provider in East Providence, Rhode Island, licensed in Rhode Island (APRN02307) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1164767604
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTEN J. HYLANCredential: FNP
Location Address610 WATERMAN AVEEast Providence, RI 02914-2427
Mailing Address610 Waterman AveEast Providence, RI 02914-2427 · (401) 437-1008 · Fax (401) 433-3042
Phone(401) 437-1008
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 11, 2012
Last NPPES UpdateMarch 3, 20264 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
✔ NPI 1164767604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in RI · APRN02307✔ Licensed in MA · RN271502
610 WATERMAN AVE, East Providence, RI 02914
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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

Kristen J. Hylan Fnp 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 ID4880849124
PECOS Enrollment IDI20130312000519, I20200626000135
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02914 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
89%229 patients4/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
91%294 patients5/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%1,647 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%1,761 patients4/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
73%146 patients3/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
43%120 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
92%97 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
90%775 patients4/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
79%146 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
71%699 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 486 patients
Patients tobacco: 50% · 22 patients
94%486 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
89%775 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
91%775 patients5/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
54%775 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

CITY OF EAST PROVIDENCE
Clinic/Center
610 WATERMAN AVE
EAST PROVIDENCE, RI 02914
Providence County (401) 435-7800
EAST PROVIDENCE SENIOR CENTER
Clinic/Center (Community Health)
610 WATERMAN AVE
EAST PROVIDENCE, RI 02914
Providence County (401) 435-7800
SUSAN LANGMACK
Registered Nurse (Diabetes Educator)
610 WATERMAN AVE
EAST PROVIDENCE, RI 02914
Providence County (401) 435-7800
MS. DOLORES I NORTON BRAICA RN
Registered Nurse (Diabetes Educator)
610 WATERMAN AVE, EAST PROVIDENCE SENIOR CENTER
EAST PROVIDENCE, RI 02914
Providence County (401) 435-2106
CITY OF EAST PROVIDENCE
Public Health or Welfare
610 WATERMAN AVE
EAST PROVIDENCE, RI 02914
Providence County (401) 435-7800
MS. ANN MARIE CHALMERS SABULA RD, LDN
Dietitian, Registered
610 WATERMAN AVE
EAST PROVIDENCE, RI 02914
Providence County (401) 289-0549
MARY CATHERINE PROIETTA R.D., L.D.N.
Dietitian, Registered
610 WATERMAN AVE
EAST PROVIDENCE, RI 02914
Providence County (401) 435-7800
MRS. JOANNE F COSTELLO RN CDOE
Registered Nurse (Diabetes Educator)
610 WATERMAN AVE
EAST PROVIDENCE, RI 02914
Providence County (401) 435-7800

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 Kristen Hylan's NPI number?

The NPI number for Kristen Hylan is 1164767604. It was assigned to this individual provider in the NPPES registry on December 11, 2012.

Where is Kristen Hylan located?

Kristen Hylan practices at 610 Waterman Ave, East Providence, RI 02914. The listed phone number is (401) 437-1008.

What is Kristen Hylan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kristen Hylan enrolled in Medicare?

Yes. Kristen Hylan 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.

When was this NPI record last updated?

The NPPES record for Kristen Hylan was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.