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KRISTYN MARIE MOWRY PA-C
NPI 1760831846
Physician Assistant - Medical in New London, CT

Active since June 08, 2016PECOS Enrolled
365 MONTAUK AVE, NEW LONDON, CT 06320(860) 442-0711 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Feb 5, 2020, Aug 15, 2019 (2 updates tracked since 2019).

About Kristyn Marie Mowry Pa-c NPPES

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

KRISTYN MARIE MOWRY PA-C (NPI 1760831846) is an individual medical provider in New London, Connecticut, licensed in Connecticut (4430) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1760831846
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKRISTYN MARIE MOWRYCredential: PA-C
Location Address365 MONTAUK AVENew London, CT 06320-4769
Mailing Address20 York Street, Cb-329New Haven, CT 06510-3220 · (203) 688-1734
Phone(860) 442-0711
Sole ProprietorNo
Enumeration DateJune 8, 2016
Last NPPES UpdateFebruary 5, 20202 updates tracked since enumeration
✔ NPI 1760831846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CT · 4430
365 MONTAUK AVE, New London, CT 06320
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11515 E Ocean AveLompoc, CA 93436-7092 · Phone (805) 737-3300
Location 225 Wells StWesterly, RI 02891-2922 · Phone (401) 596-6000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristyn Marie Mowry Pa-c 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.

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.

KATHLEEN M PACHECO RN, CDE
Registered Nurse (Diabetes Educator)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-4737
DR. CHRISTOPHER TUDOR OPRICA PHARM.D.
Pharmacist (Pharmacotherapy)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-3711
THERESA M. BONANOMI
Social Worker (Clinical)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-5141
AMIT KHANNA MD
Family Medicine (Sleep Medicine)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711
JOANN DONNEL LNM
Advanced Practice Midwife
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711
SAMUEL MARYLES MD
Emergency Medicine
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (330) 493-4443
DR. PAUL CASINELLI M.D
Anesthesiology
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711
MARIAM F. ABOUKAR D.O.
Psychiatry & Neurology (Psychiatry)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711

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 Kristyn Mowry's NPI number?

The NPI number for Kristyn Mowry is 1760831846. It was assigned to this individual provider in the NPPES registry on June 8, 2016.

Where is Kristyn Mowry located?

Kristyn Mowry practices at 365 Montauk Ave, New London, CT 06320. The listed phone number is (860) 442-0711.

What is Kristyn Mowry's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kristyn Mowry enrolled in Medicare?

Yes. Kristyn Mowry is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristyn Mowry was last updated on February 5, 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.