Active NPI 1619300050 Individual Practitioner Female Practitioner

Kristen L. Scanlon , NP

Nurse Practitioner • Lowell, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kristen Scanlon, NP is a certified Nurse Practitioner practicing in Lowell, MA. With approximately 13 years of clinical experience since graduating from University Of Massachusetts Medical School in 2013, Kristen Scanlon delivers high-quality medical care to the local community at 295 VARNUM AVE.

Kristen Scanlon is affiliated with Lgh Medical Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include advance care planning, first, initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

295 Varnum Ave

Lowell, MA 018542134

Telephone 9789422064

Fax 9789422068

Associated Practice Facility / Clinic

🏢 Lowell Anesthesiology Service, Inc. Facility NPI 1114927282

Medicare Profile & Education

Medical School

University Of Massachusetts Medical School

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Lowell, MA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs +4.2 yrs vs City Avg

City Avg: 8.8 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

37 Specialists

Practicing in Lowell, MA (3545 Statewide)

Telehealth Adoption Rate

27.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Scanlon (13 Years) 13 Yrs

Lowell Specialty Average (8.8 Years) 8.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99497 Advance care planning, first 30 minutes	209	170	$261.00	$67.10
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	190	181	$667.00	$153.73
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	158	107	$343.00	$105.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	84	82	$452.00	$115.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	84	60	$240.00	$69.80
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th	17	15	$86.00	$27.02
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	11	$135.00	$43.74
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$335.00	$73.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99497 Advance care planning, first 30 minutes	244	172	$261.00	$68.33
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	163	92	$343.00	$105.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	129	119	$667.00	$155.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	125	82	$240.00	$70.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	112	106	$452.00	$116.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	207	121	$310.92	$92.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	145	138	$626.45	$179.48
99497 Advance care planning, first 30 minutes	107	81	$243.34	$70.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	82	79	$393.14	$122.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	81	60	$209.58	$64.74
99231 Follow-up hospital inpatient care per day, typically 15 minutes	63	44	$116.58	$35.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	119	112	$785.48	$182.74
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	104	73	$372.02	$94.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	84	82	$490.10	$124.98
99231 Follow-up hospital inpatient care per day, typically 15 minutes	41	33	$140.94	$35.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	29	$260.28	$66.08
99497 Advance care planning, first 30 minutes	32	30	$304.72	$70.36
99221 Initial hospital inpatient care per day, typically 30 minutes	28	28	$363.14	$89.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	135	88	$251.79	$96.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	134	129	$518.99	$187.58
99356 Prolonged inpatient or observation hospital service, first hour	41	35	$224.36	$85.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	22	$203.23	$67.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$385.20	$127.68
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	14	$136.20	$36.58
99497 Advance care planning, first 30 minutes	14	14	$304.72	$73.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	100	95	$295.05	$178.71
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	62	40	$150.15	$91.81
99356 Prolonged inpatient or observation hospital service, first hour	28	21	$180.60	$81.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$227.85	$120.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	15	$74.55	$34.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	105	100	$243.07	$176.83
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	71	54	$124.28	$90.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	29	$89.56	$63.58
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	23	$47.30	$34.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$192.28	$119.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	80	79	$295.05	$177.98
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	58	47	$150.15	$91.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	46	$227.85	$120.05
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$141.75	$88.77
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	13	$74.55	$34.47

Medical Specialties & State Licenses

CMS Verified: 2020-10-29

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA 270826

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Lgh Medical Group, Inc.

295 Varnum Ave, Lowell, MA 018542134

Phone: 9787887344

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Ramya Prabhakar , MD

Internal Medicine

NPI 1194751396

Doctor of Medicine (M.D.)

Virginia Doherty , RN, NP

Nurse Practitioner - Gerontology

NPI 1366745796

Registered Nurse, Nurse Practitioner

Samar Mccorry , NP-C

Nurse Practitioner - Family

NPI 1902263676

Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location October 29, 2020

Registered at 295 VARNUM AVE, LOWELL, MA 018542134 (Tel: 9789422064)

📍

Updated Business Mailing Address October 29, 2020

Registered at 295 VARNUM AVE, LOWELL, MA 018542134 (Tel: 9789422064)

✅

NPI Profile Active October 09, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 09, 2014

Registered at 585 LEBANON ST, MELROSE, MA 021763225 (Tel: 7819796989)

📍

Updated Business Mailing Address October 09, 2014

Registered at 585 LEBANON ST, MELROSE, MA 021763225 (Tel: 7819796989)

👤

Provider Name / Credentials Updated October 09, 2014

Recorded as KRISTEN SCANLON, N.P.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2014

Nurse Practitioner (License #270826 in MA)

🟢

Initial NPI Registration & Enumeration August 20, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Kristen Scanlon. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1619300050

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 20, 2013

Last Update: October 29, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

295 Varnum Ave

Lowell, MA 018542134

Phone: 9789422064

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.