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MS. KERRY ROSE STEPHENSON APRN
NPI 1497944425
Nurse Practitioner - Pediatrics in Middletown, CT

Active since October 16, 2007PECOS Enrolled
575 MAIN ST FL 2, ATTN: CREDENTIALING DPT, MIDDLETOWN, CT 06457(860) 347-6971 Get Directions Write a Review

NPPES record last updated: February 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kerry Rose Stephenson Aprn NPPES

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

MS. KERRY ROSE STEPHENSON APRN (NPI 1497944425) is an individual pediatrics provider in Middletown, Connecticut, licensed in Connecticut (003654) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497944425
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. KERRY ROSE STEPHENSONCredential: APRN
Location Address575 MAIN ST FL 2, ATTN: CREDENTIALING DPTMiddletown, CT 06457-2845
Mailing Address1 Shaws CvNew London, CT 06320-4902 · (860) 447-8304 · Fax (860) 443-8720
Phone(860) 347-6971
Sole ProprietorNo
Enumeration DateOctober 16, 2007
Last NPPES UpdateFebruary 9, 2012
✔ NPI 1497944425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in CT · 003654
575 MAIN ST FL 2, Middletown, CT 06457
Open in Google Maps ↗

Other Identifiers 1

Medicaid004236338CT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kerry Rose Stephenson Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 06457 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

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

AMANDA POLING-TIERNEY PSYD
Psychologist
575 MAIN ST FL 2
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971

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 Kerry Stephenson's NPI number?

The NPI number for Kerry Stephenson is 1497944425. It was assigned to this individual provider in the NPPES registry on October 16, 2007.

Where is Kerry Stephenson located?

Kerry Stephenson practices at 575 Main St Fl 2 Attn: Credentialing Dpt, Middletown, CT 06457. The listed phone number is (860) 347-6971.

What is Kerry Stephenson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kerry Stephenson enrolled in Medicare?

Yes. Kerry Stephenson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kerry Stephenson was last updated on February 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.