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

Kristen M Derosa, NNP-BC, ACNPC-AG

Individual provider Neonatal Nurse Practitioner · NPI 1003469230

Kristen M Derosa, NNP-BC, ACNPC-AG is a Nurse Practitioner in Worcester, Massachusetts. Qualified in 2019, 7 years ago. Practices with Integral Health Partners LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Kansas and Massachusetts.

Years since qualifying
7
Licensed in
KS, MA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

416 Belmont St
Worcester, MA 01604-1086
Phone: (508) 756-6609
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN2314768 (MA)
Neonatal Nurse Practitioner Taxonomy 363LN0000X · Licence 45177 (KS)

Record details

NPI number1003469230
Entity typeIndividual (Type 1)
GenderFemale
Credentials NNP-BC , ACNPC-AG
Sole proprietorYes
NPI enumeratedJuly 17, 2019
Last updated in NPPESFebruary 20, 2025
Certification dateFebruary 18, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Integral Health Partners Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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