KRISTEN FERNANDEZ RN
NPI 1881301711
Nurse Practitioner - Psychiatric/Mental Health in Pawcatuck, CT
About Kristen Fernandez Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTEN FERNANDEZ RN (NPI 1881301711) is an individual psychiatric/mental health provider in Pawcatuck, Connecticut, licensed in Connecticut (11677) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kristen Fernandez Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kristen Fernandez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New London, CT 06320
- Reassigned Medicare billing, Connecticut enrollment
- Medicare enrollment name: Connecticut Behavioral Health Assoc PC
- 47 clinicians in this Medicare group
Norwich, CT 06360
- Reassigned Medicare billing, Connecticut enrollment
- 57 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06379 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Fernandez's NPI number?
The NPI number for Kristen Fernandez is 1881301711. It was assigned to this individual provider in the NPPES registry on October 31, 2022.
Where is Kristen Fernandez located?
Kristen Fernandez practices at 118 S Broad St, Pawcatuck, CT 06379. The listed phone number is (860) 860-5728.
What is Kristen Fernandez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kristen Fernandez enrolled in Medicare?
Yes. Kristen Fernandez is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kristen Fernandez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Fernandez reassigns Medicare benefits to 2 organizations: Connecticut Behavioral Health Assoc, P.C. (New London, CT) and State Of Connecticut (Norwich, CT). 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 Fernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kristen Fernandez was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kristen Fernandez, RN · NPI 1881301711
Psychiatric/Mental Health physician in Pawcatuck, Connecticut. Individual provider, active in the CMS NPPES registry since October 31, 2022.
## Identity
- **NPI:** 1881301711 (Entity type: Individual)
- **Enumerated:** October 31, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 11677 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 118 S BROAD ST, Pawcatuck, CT 06379-1925
- **Phone:** (860) 860-5728
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Connecticut Behavioral Health Assoc, P.C. (NPI 1629158126, New London, CT); State Of Connecticut (NPI 1902831548, Norwich, CT) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1881301711) · Data from the CMS NPPES public registry.