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KRISTEN R BURKHOLDER MD
NPI 1083795108
Family Medicine in Shonto, AZ

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
HWY 98 & NAVAJO ROUTE 16, SHONTO, AZ 86044(928) 672-3000(928) 697-3005 Get Directions Write a Review

NPPES record last updated: December 23, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kristen R Burkholder Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTEN R BURKHOLDER MD (NPI 1083795108) is an individual family medicine provider in Shonto, Arizona, licensed in Arizona (41592) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1083795108
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKRISTEN R BURKHOLDERCredential: MD
Location AddressHWY 98 & NAVAJO ROUTE 16Shonto, AZ 86044-7397
Mailing AddressPo Box 368Kayenta, AZ 86033-0368 · (928) 697-4000 · Fax (928) 697-4052
Phone(928) 672-3000
Fax(928) 697-3005
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 17, 2006
Last NPPES UpdateDecember 23, 2019
✔ NPI 1083795108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 41592
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
HWY 98 & NAVAJO ROUTE 16, Shonto, AZ 86044
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Other Identifiers 1

Medicaid981482AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristen R Burkholder Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981626553
PECOS Enrollment IDI20051222000638
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Kristen Burkholder reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tuba City Regional Health Care Corporation
20 mi
General Acute Care Hospital
167 NORTH MAIN STREET
Tuba City, AZ 86045
  • Reassigned Medicare billing, Texas enrollment
  • 540 clinicians in this Medicare group
NPI 1548294424 (928) 283-2501
Kayenta Alternative Rural Hospital
25 mi
General Acute Care Hospital
HWY 98 & NAVAJO ROUTE 16
Tonalea, AZ 86044
  • Reassigned Medicare billing, Texas enrollment
  • 215 clinicians in this Medicare group
NPI 1740359108 (928) 672-3000
Dhhs Phs Naihs Chinle Comprehensive Health Care Facility
44 mi
General Acute Care Hospital
NAVAJO ROUTE 4
Pinon, AZ 86510
  • Reassigned Medicare billing, Texas enrollment
  • 476 clinicians in this Medicare group
NPI 1396761565 (928) 725-3220
Dhhs Ihs Phoenix
97 mi
Clinic/Center
1 MAIN ST
Supai, AZ 86435
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Dhhs Ihs Phoenix Area
  • 210 clinicians in this Medicare group
NPI 1184901829 (928) 448-2641
Dhhs Ihs Phoenix Area
230 mi
Public Health, Federal
1970 PALO VERDE
Havasu Lake, CA 92363
  • Reassigned Medicare billing, Texas enrollment
  • 208 clinicians in this Medicare group
NPI 1396022026 (760) 858-4790

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
36 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier14 claims14 services$18.33 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$5.66 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier15 claims15 services$100.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNY MCCORKLE
Social Worker
HWY 98 & NAVAJO ROUTE 16
TONALEA, AZ 86044
Coconino County (928) 672-3018
KAYENTA ALTERNATIVE RURAL HOSPITAL
General Acute Care Hospital
HWY 98 & NAVAJO ROUTE 16
TONALEA, AZ 86044
Coconino County (928) 672-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristen Burkholder's NPI number?

The NPI number for Kristen Burkholder is 1083795108. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Kristen Burkholder located?

Kristen Burkholder practices at Hwy 98 & Navajo Route 16, Shonto, AZ 86044. The listed phone number is (928) 672-3000.

What is Kristen Burkholder's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kristen Burkholder enrolled in Medicare?

Yes. Kristen Burkholder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kristen Burkholder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Burkholder reassigns Medicare benefits to 5 organizations: Tuba City Regional Health Care Corporation (Tuba City, AZ), Kayenta Alternative Rural Hospital (Tonalea, AZ), Dhhs Phs Naihs Chinle Comprehensive Health Care Facility (Pinon, AZ), Dhhs Ihs Phoenix (Supai, AZ) and Dhhs Ihs Phoenix Area (Havasu Lake, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristen Burkholder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristen Burkholder accept?

Health plans from Blue Cross Blue Shield of Arizona list Kristen Burkholder as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristen Burkholder was last updated on December 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.