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KRISTY MARIE GRAINGER FNP
NPI 1740890573
Nurse Practitioner - Family in Winchendon, MA

Active since August 06, 2020PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
55 HOSPITAL DR, WINCHENDON, MA 01475(978) 297-2311(978) 297-4173 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2026, Oct 13, 2021, Aug 6, 2020 (3 updates tracked since 2020).

About Kristy Marie Grainger Fnp NPPES

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

KRISTY MARIE GRAINGER FNP (NPI 1740890573) is an individual family provider in Winchendon, Massachusetts, licensed in Massachusetts (RN270461) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Heywood Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1740890573
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTY MARIE GRAINGERCredential: FNP
Location Address55 HOSPITAL DRWinchendon, MA 01475-1820
Mailing Address55 Hospital DrWinchendon, MA 01475-1899 · (978) 297-2311 · Fax (978) 297-4173
Phone(978) 297-2311
Fax(978) 297-4173
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 6, 2020
Last NPPES UpdateMay 6, 20263 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1740890573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MA · RN270461
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
55 HOSPITAL DR, Winchendon, MA 01475
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Kristy Marie Grainger 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 ID8820409873
PECOS Enrollment IDI20201123001442
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 6

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.

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.
136 services92 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
136 services136 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
46 services41 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.
46 services41 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
21 services18 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Heywood Hospital

Acute Care Hospitals · Gardner, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220095
Location242 Green StreetGardner, MA 01440 · Worcester County
Emergency services Birthing friendly

Athol Memorial Hospital

Critical Access Hospitals · Athol, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221303
Location2033 Main StreetAthol, MA 01331 · Worcester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01475 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.

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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

KAVITHA KAYATHI M.D.
Family Medicine
55 HOSPITAL DR
WINCHENDON, MA 01475
Worcester County (978) 297-2331
JOHN E. HARRINGTON M.D.
Family Medicine
55 HOSPITAL DR
WINCHENDON, MA 01475
Worcester County (978) 297-2311
CAROL REICH FNP-BC, CPNP
Nurse Practitioner (Family)
55 HOSPITAL DR
WINCHENDON, MA 01475
Worcester County (978) 297-2311
ELIOT E NOTTLESON P.A.
Physician Assistant
55 HOSPITAL DR
WINCHENDON, MA 01475
Worcester County (978) 297-2311
DR. DAVID N HAVLIN M.D.
Family Medicine
55 HOSPITAL DR
WINCHENDON, MA 01475
Worcester County (978) 297-2311
DENISE M ARCAND M.D.
Family Medicine
55 HOSPITAL DR
WINCHENDON, MA 01475
Worcester County (978) 797-2311
WINCHENDON FAMILY PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
55 HOSPITAL DR
WINCHENDON, MA 01475
Worcester County (978) 297-5100
MONICA MBUGUA
Registered Nurse
55 HOSPITAL DR
WINCHENDON, MA 01475
Worcester County (978) 297-2311

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 Kristy Grainger's NPI number?

The NPI number for Kristy Grainger is 1740890573. It was assigned to this individual provider in the NPPES registry on August 6, 2020.

Where is Kristy Grainger located?

Kristy Grainger practices at 55 Hospital Dr, Winchendon, MA 01475. The listed phone number is (978) 297-2311.

What is Kristy Grainger's specialty?

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

Is Kristy Grainger enrolled in Medicare?

Yes. Kristy Grainger 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 Kristy Grainger accept?

Health plans from Anthem Blue Cross and Blue Shield list Kristy Grainger 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 Kristy Grainger affiliated with any hospitals?

According to CMS data, Kristy Grainger is affiliated with Heywood Hospital and Athol Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kristy Grainger was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.