Kentrone Vines, AGACNP-BC
NPI 1003611013 · Acute Care Nurse Practitioner · New Haven, CT
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kentrone Vines, AGACNP-BC is a Acute Care Nurse Practitioner provider in New Haven, CT (NPI 1003611013).
Provider details
- NPI number
- 1003611013
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP-BC
- Sex
- Male
- Sole proprietor
- No
- License
- 14470 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-02-14
- Last updated
- 2025-02-14
- Certified
- 2025-01-23
Frequently asked questions
- What is Kentrone Vines's NPI number?
- Kentrone Vines's National Provider Identifier (NPI) is 1003611013, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kentrone Vines's specialty?
- Kentrone Vines is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kentrone Vines located?
- Kentrone Vines's practice location on file with NPPES is 20 York St, New Haven, CT 06510-3220.
- What is Kentrone Vines's phone number?
- The practice phone number listed in the NPPES registry for Kentrone Vines is (203) 688-4242.
- Does Kentrone Vines accept Medicare?
- Kentrone Vines is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kentrone Vines's NPI active?
- Yes — Kentrone Vines's NPI (1003611013) is active in the NPPES registry as of the last update on 2025-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.