Kristen M Derosa, NNP-BC, ACNPC-AG - Medicare Nurse Practitioner in Worcester, MA

Kristen M Derosa, NNP-BC, ACNPC-AG is a medicare enrolled "Nurse Practitioner - Acute Care" in Worcester, Massachusetts. Her current practice location is 416 Belmont St, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 756-6609.

Kristen M Derosa is licensed to practice in Massachusetts (license number RN2314768) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003469230.

Contact Information

Kristen M Derosa, NNP-BC, ACNPC-AG
416 Belmont St,
Worcester, MA 01604-1086
(508) 756-6609
Not Available

Map and Direction




Provider's Profile

Full NameKristen M Derosa
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location416 Belmont St, Worcester, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003469230
  • Provider Enumeration Date: 07/17/2019
  • Last Update Date: 02/20/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6204261480
  • Enrollment ID: I20200116000480

Medical Identifiers

Medical identifiers for Kristen M Derosa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003469230NPI-NPPES
104252227OtherNATIONAL CERTIFICATION CORPORATION: CERTIFICATION ID
104252227OtherNCC CERTIFICATION ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LN0000XNurse Practitioner - Neonatal 45177 (Kansas)Secondary
363LA2100XNurse Practitioner - Acute Care RN2314768 (Massachusetts)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristen M Derosa allows following entities to bill medicare on her behalf.
Entity NameMass General Brigham Medical Group Western Massachusetts Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295787919
PECOS PAC ID: 2567359839
Enrollment ID: O20040302000290
Entity NameWorcester Internal Medicine, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063565422
PECOS PAC ID: 8022089440
Enrollment ID: O20040802000222
Entity NameIntegral Health Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679183545
PECOS PAC ID: 2264842087
Enrollment ID: O20201106001479

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristen M Derosa is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kristen M Derosa, NNP-BC, ACNPC-AG
67 Millbrook St Ste 406a,
Worcester, MA 01606-2845

Ph: (508) 283-4513
Kristen M Derosa, NNP-BC, ACNPC-AG
416 Belmont St,
Worcester, MA 01604-1086

Ph: (508) 756-6609

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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