DR. KRISTI NOEL HENNAN M.D.
NPI 1093720476
Family Medicine in Medford, OR
About Dr. Kristi Noel Hennan M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KRISTI NOEL HENNAN M.D. (NPI 1093720476) is an individual family medicine provider in Medford, Oregon, licensed in California (A94660) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Vermont College Of Medicine (2004).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Dr. Kristi Noel Hennan M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Kristi Hennan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salem, OR 97301
- Reassigned Medicare billing, Oregon enrollment
- 123 clinicians in this Medicare group
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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kristi Hennan's NPI number?
The NPI number for Kristi Hennan is 1093720476. It was assigned to this individual provider in the NPPES registry on July 31, 2006.
Where is Kristi Hennan located?
Kristi Hennan practices at 19 Myrtle St, Medford, OR 97504. The listed phone number is (541) 773-3863.
What is Kristi Hennan's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kristi Hennan enrolled in Medicare?
Yes. Kristi Hennan 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 organization bills Medicare for Kristi Hennan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristi Hennan reassigns Medicare benefits to Dhs/Office Of Financial Services Irs/Eopc/Bmrc/Eotc/Osh/Osh-P (Salem, OR). The 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 Kristi Hennan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kristi Hennan was last updated on June 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Kristi Noel Hennan, M.D. · NPI 1093720476
Family Medicine physician in Medford, Oregon. Individual provider, active in the CMS NPPES registry since July 31, 2006.
## Identity
- **NPI:** 1093720476 (Entity type: Individual)
- **Enumerated:** July 31, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A94660 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 19 MYRTLE ST, Medford, OR 97504-7337
- **Phone:** (541) 773-3863 · **Fax:** (541) 776-2892
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Dhs/Office Of Financial Services Irs/Eopc/Bmrc/Eotc/Osh/Osh-P (NPI 1508802489, Salem, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Vermont College Of Medicine, class of 2004
## Record status
- **NPPES last updated:** June 11, 2015
- **Other identifiers:** Medicare UPIN WA94660B (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1093720476) · Data from the CMS NPPES public registry.