Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaitlyn Dawn Drenckpohl

Individual provider Registered Nurse · NPI 1457978389

Kaitlyn Dawn Drenckpohl is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2014, 12 years ago. Practices with Bostons Community Medical Group Inc, a 30-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
12
Licensed in
MA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

30 Northampton St
Boston, MA 02118-4098
Phone: (617) 433-9601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN2343517 (MA)
Registered Nurse Taxonomy 163W00000X · Licence RN2343517 (MA)

Record details

NPI number1457978389
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 26, 2020
Last updated in NPPESNovember 16, 2023
Certification dateNovember 16, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Bostons Community Medical Group Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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