KRISTEN M BILODEAU NP
NPI 1194861419
Nurse Practitioner in Burlington, MA

Active since January 30, 2007PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
41 MALL ROAD, LAHEY HOSPITAL AND MEDICAL CENTER, BURLINGTON, MA 01805(781) 744-8430(781) 744-5397 Get Directions Write a Review

NPPES record last updated: October 31, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristen M Bilodeau Np NPPES

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

KRISTEN M BILODEAU NP (NPI 1194861419) is an individual nurse practitioner in Burlington, Massachusetts, licensed in Massachusetts (194339) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Winchester Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1194861419
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKRISTEN M BILODEAUCredential: NP
Location Address41 MALL ROAD, LAHEY HOSPITAL AND MEDICAL CENTERBurlington, MA 01805-0001
Mailing Address1 ParkwayHaverhill, MA 01830-6278 · (978) 469-3270 · Fax (978) 469-5320
Fax(781) 744-5397
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJanuary 30, 2007
Last NPPES UpdateOctober 31, 2017
NPI 1194861419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MA · 194339
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
41 MALL ROAD, Burlington, MA 01805

Other Identifiers 2

Medicare PINNP239501MA
Medicaid0374181MA

Accepted 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

Kristen M Bilodeau Np 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 ID6002820933
PECOS Enrollment IDI20060131000482
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 5

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
112 services50 patients
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.
73 services59 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
46 services28 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
34 services24 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.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01805 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

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.

Obstetrics & Gynecology
41 MALL ROAD
BURLINGTON, MA 01805
Internal Medicine (Nephrology)
41 MALL ROAD, LAHEY HOSPITAL & MEDICAL CENTER
BURLINGTON, MA 01805
Radiology (Diagnostic Radiology)
41 MALL ROAD, LAHEY HOSPITAL & MEDICAL CENTER
BURLINGTON, MA 01805
Nurse Anesthetist, Certified Registered
41 MALL ROAD
BURLINGTON, MA 01805
Internal Medicine (Gastroenterology)
41 MALL ROAD, LAHEY HOSPITAL & MEDICAL CENTER
BURLINGTON, MA 01805
Hospitalist
41 MALL ROAD, LAHEY HOSPITAL AND MEDICAL CENTER
BURLINGTON, MA 01805
Nurse Practitioner (Psychiatric/Mental Health)
41 MALL ROAD, LAHEY HOSPITAL AND MEDICAL CENTER
BURLINGTON, MA 01805
Nurse Practitioner (Family)
41 MALL ROAD, LAHEY HOSPITAL AND MEDICAL CENTER
BURLINGTON, MA 01805

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 Bilodeau's NPI number?

The NPI number for Kristen Bilodeau is 1194861419. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Kristen Bilodeau located?

Kristen Bilodeau practices at 41 Mall Road Lahey Hospital And Medical Center, Burlington, MA 01805. The listed phone number is (781) 744-8430.

What is Kristen Bilodeau's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kristen Bilodeau enrolled in Medicare?

Yes. Kristen Bilodeau 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 Kristen Bilodeau accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Kristen Bilodeau 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 Kristen Bilodeau affiliated with any hospitals?

According to CMS data, Kristen Bilodeau is affiliated with Winchester Hospital and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Kristen Bilodeau was last updated on October 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.