KEVIN CHARLES KING APRN - NPI 1285316885 - Nurse Practitioner in Watertown, CT

Q: What is Kevin King's NPI number?

The NPI number for Kevin King is 1285316885. It was assigned to this individual provider in the NPPES registry on August 2, 2023.

Q: What is Kevin King's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin King was last updated on August 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kevin Charles King Aprn NPPES

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

KEVIN CHARLES KING APRN (NPI 1285316885) is an individual family provider in Watertown, Connecticut, licensed in Connecticut (12180) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1285316885

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameKEVIN CHARLES KINGCredential: APRN

Location Address380 MAIN STWatertown, CT 06795-2260

Mailing Address380 Main StWatertown, CT 06795-2260 · (860) 274-8891

Phone(860) 274-8891

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 2, 2023

NPPES CertifiedAugust 2, 2023

✔ NPI 1285316885 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

License✔ Licensed in CT · 12180

380 MAIN ST, Watertown, CT 06795

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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 (PECOS)

Kevin Charles King Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911497466

PECOS Enrollment IDI20251104003013

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 06795 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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.

Other Providers at the Same Location NPPES 7

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

DR. JACQUELINE O LUSTIG D.O.

Family Medicine