MS. KRISTEN CARROLL NP
NPI 1609105667
Nurse Practitioner - Adult Health in Fall River, MA

Active since December 21, 2009PECOS EnrolledAccepts Medicare Assignment
363 HIGHLAND AVE, FALL RIVER, MA 02720(508) 973-7328(508) 973-7282 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 21, 2020, Sep 30, 2016 (2 updates tracked since 2016).

About Ms. Kristen Carroll Np NPPES

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

MS. KRISTEN CARROLL NP (NPI 1609105667) is an individual adult health provider in Fall River, Massachusetts, licensed in Massachusetts (RN256737) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS, is affiliated with South Shore Hospital, and is a graduate of University Of Massachusetts Medical School (2008).

NPPES Registry Identity

NPI1609105667
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. KRISTEN CARROLLCredential: NP
Location Address363 HIGHLAND AVEFall River, MA 02720-3703
Mailing Address200 Mill Rd Ste 180Fairhaven, MA 02719-5255 · (508) 973-2000 · Fax (508) 973-2001
Fax(508) 973-7282
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2008
Enumeration DateDecember 21, 2009
Last NPPES UpdateApril 21, 20202 updates tracked since enumeration
NPPES CertifiedApril 21, 2020
✔ NPI 1609105667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MA · RN256737
363 HIGHLAND AVE, Fall River, MA 02720

Other Names 1

Former Name (1)Kristen Deluca Np

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kristen Carroll 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 ID143365635
PECOS Enrollment IDI20100309000244
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Kristen Carroll reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
277 PLEASANT ST, 4TH FLOOR
Fall River, MA 02721
  • Reassigned Medicare billing, Massachusetts enrollment
  • 317 clinicians in this Medicare group
Emergency Medicine
208 MILL RD
Fairhaven, MA 02719
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,144 clinicians in this Medicare group
Cardiovascular Disease
541 MAIN ST, SUITE 400
South Weymouth, MA 02190
  • Reassigned Medicare billing, Massachusetts enrollment
  • 419 clinicians in this Medicare group
Family Medicine
2014 WASHINGTON STREET
Newton, MA 02462
  • Reassigned Medicare billing, Massachusetts enrollment
  • 992 clinicians in this Medicare group
Neuroradiology
27 PARK ST
Hyannis, MA 02601
  • Reassigned Medicare billing, Massachusetts enrollment
  • 678 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
227 services218 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
154 services109 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.
51 services44 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
18 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220100
Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02720 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 20

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

Dietitian, Registered
363 HIGHLAND AVE
FALL RIVER, MA 02720
Nurse Practitioner (Critical Care Medicine)
363 HIGHLAND AVE
FALL RIVER, MA 02720
Nurse Practitioner
363 HIGHLAND AVE
FALL RIVER, MA 02720
Pediatrics
363 HIGHLAND AVE
FALL RIVER, MA 02720
Physician Assistant
363 HIGHLAND AVE
FALL RIVER, MA 02720
Nurse Practitioner (Acute Care)
363 HIGHLAND AVE
FALL RIVER, MA 02720
Physician Assistant (Medical)
363 HIGHLAND AVE
FALL RIVER, MA 02720
Nurse Practitioner (Adult Health)
363 HIGHLAND AVE
FALL RIVER, MA 02720

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 Carroll's NPI number?

The NPI number for Kristen Carroll is 1609105667. It was assigned to this individual provider in the NPPES registry on December 21, 2009. The provider is also known as Kristen Deluca Np.

Where is Kristen Carroll located?

Kristen Carroll practices at 363 Highland Ave, Fall River, MA 02720. The listed phone number is (508) 973-7328.

What is Kristen Carroll's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kristen Carroll enrolled in Medicare?

Yes. Kristen Carroll 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.

Which organizations bill Medicare for Kristen Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Carroll reassigns Medicare benefits to 5 organizations: Prima Care, PC (Fall River, MA), Southcoast Physicians Group, Inc. (Fairhaven, MA), Harbor Medical Associates, Inc. (South Weymouth, MA), Mass General Brigham Medical Group Suburban Massachusetts Inc (Newton, MA) and Physicians Of Cape Cod Hospital (Hyannis, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristen Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristen Carroll accept?

Health plans from Taro Health list Kristen Carroll 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 Carroll affiliated with any hospitals?

According to CMS data, Kristen Carroll is affiliated with South Shore Hospital.

When was this NPI record last updated?

The NPPES record for Kristen Carroll was last updated on April 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.