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

Kristen Erin Medeiros

Individual provider Nurse Practitioner · NPI 1255931150

Kristen Erin Medeiros is a Nurse Practitioner in Fairhaven, Massachusetts. Qualified in 2020, 6 years ago. Practices with Southcoast Physicians Group Inc, a 872-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and Rhode Island.

Years since qualifying
6
Licensed in
MA, RI
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

208 Mill Rd
Fairhaven, MA 02719-5208
Phone: (508) 973-2661
Fax: (508) 973-0314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN2294001 (MA)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN02497 (RI)

Record details

NPI number1255931150
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 29, 2020
Last updated in NPPESSeptember 8, 2024
Certification dateSeptember 8, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Southcoast Physicians Group Inc — 872 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Fairhaven