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

Kristina Beauharnais, PA

Individual provider Internal Medicine Physician · NPI 1811509904

Kristina Beauharnais, PA is a Physician Assistant in New York, New York. Qualified in 2020, 6 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and New York.

Years since qualifying
6
Licensed in
CT, NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

462 1st Ave
New York, NY 10016-9196
Phone: (212) 562-4141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 326 Washington St, Norwich, CT 06360-2740 — (860) 889-8331

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5118 (CT)
Internal Medicine Physician Taxonomy 207R00000X · Licence 025469 (NY)

Record details

NPI number1811509904
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 19, 2020
Last updated in NPPESFebruary 21, 2023
Certification dateFebruary 21, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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