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

Kristen A Prophet

Individual provider Primary Care Nurse Practitioner · NPI 1639926793

Kristen A Prophet is a Nurse Practitioner in Worcester, Massachusetts. Qualified in 2024, 2 years ago. Practices with Vantage Healthcare LLC, a 69-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2024
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Practice location Address checks out

25 Oriol Dr
Worcester, MA 01605-1911
Phone: (508) 259-8737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence RN2264348 (MA)

Record details

NPI number1639926793
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 6, 2024
Last updated in NPPESMay 6, 2024
Certification dateMay 6, 2024
Mailing address100 Heights Of Hill St, Whitinsville, MA 01588-1048

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Vantage Healthcare Llc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Worcester