Mrs Kristy Poulliot, FNP-BC in Sudbury, MA - Medicare Nurse Practitioner

Mrs Kristy Poulliot, FNP-BC is a medicare enrolled "Nurse Practitioner" in Sudbury, Massachusetts. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Charles River Medical Associates, Pc and her current practice location is 29 Hudson Rd Ste 3310, Sudbury, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (978) 443-8810.

Mrs Kristy Poulliot is licensed to practice in Massachusetts (license number RN2268086) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689183014.

Contact Information

	Mrs Kristy Poulliot, FNP-BC
	29 Hudson Rd Ste 3310, Sudbury, MA 01776-1753
	(978) 443-8810
	(978) 443-8839

Map and Direction

Provider's Profile

Full Name	Mrs Kristy Poulliot
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	29 Hudson Rd Ste 3310, Sudbury, Massachusetts
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kristy Poulliot graduated from nursing school in 2017

NPI Data:

NPI Number: 1689183014
Provider Enumeration Date: 09/28/2017
Last Update Date: 07/22/2024

Medicare PECOS Information:

PECOS PAC ID: 2466710371
Enrollment ID: I20190603000326

Medical Identifiers

Medical identifiers for Mrs Kristy Poulliot such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689183014	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN2268086 (Massachusetts)	Secondary
363LF0000X	Nurse Practitioner - Family	7330 (Connecticut)	Secondary
363L00000X	Nurse Practitioner	RN2268086 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Emerson Hospital -	W concord, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Charles River Medical Associates, Pc	3476630450	110

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. Mrs Kristy Poulliot allows following entities to bill medicare on her behalf.

Entity Name	Umass Memorial Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267

Entity Name	Charles River Medical Associates, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598215204 PECOS PAC ID: 3476630450 Enrollment ID: O20161122000110

Entity Name	Starting Line Wellness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003373069 PECOS PAC ID: 2961744354 Enrollment ID: O20190506000806

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. Mrs Kristy Poulliot 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 Address	Practice Location Address
Mrs Kristy Poulliot, FNP-BC 171 Main St Ste 203b, Ashland, MA 01721-1187 Ph: (508) 881-3029	Mrs Kristy Poulliot, FNP-BC 29 Hudson Rd Ste 3310, Sudbury, MA 01776-1753 Ph: (978) 443-8810

Reviews and Comments

Nurse Practitioner Nurses in Sudbury, MA

Andrea C Bertorelli, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 490 Boston Post Rd, Suite 2002, Sudbury, MA 01776 Phone: 978-443-0707 Fax: 978-440-9389
Andrew P Granese, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 323 Boston Post Rd Ste 4c, Sudbury, MA 01776 Phone: 978-622-2292 Fax: 978-288-0208
Mary Ellen Coronado, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 490 Boston Post Rd Ste 2001, Sudbury, MA 01776 Phone: 785-796-0189
Heather Roanna Connors, RN, MSN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 144 North Rd Ste 3450, Sudbury, MA 01776 Phone: 978-722-4109
Ms. Risper Jael Ronga, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Boston Post Rd, Sudbury, MA 01776 Phone: 978-443-7141
Jennifer Gillard, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Post Road Pediatrics, Llp, 616 Boston Post Rd, Sudbury, MA 01776 Phone: 978-443-6005 Fax: 978-443-8429
Hayley Rebekah Deangelis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 Boston Post Rd, Sudbury, MA 01776 Phone: 978-443-7141

Mrs Kristy Poulliot, FNP-BC - Medicare Nurse Practitioner in Sudbury, MA