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DR. KRISTI NOEL HENNAN M.D.
NPI 1093720476
Family Medicine in Medford, OR

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
19 MYRTLE ST, MEDFORD, OR 97504(541) 773-3863(541) 776-2892 Get Directions Write a Review

NPPES record last updated: June 11, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1093720476
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KRISTI NOEL HENNANCredential: M.D.
Location Address19 MYRTLE STMedford, OR 97504-7337
Mailing Address19 Myrtle StMedford, OR 97504-7337 · (541) 773-3863 · Fax (541) 776-2892
Phone(541) 773-3863
Fax(541) 776-2892
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2004
Enumeration DateJuly 31, 2006
Last NPPES UpdateJune 11, 2015
✔ NPI 1093720476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A94660
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.

19 MYRTLE ST, Medford, OR 97504
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Other Identifiers 1

Medicare UPINWA94660BCA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID8628174398
PECOS Enrollment IDI20150724011969
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.

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
37 services28 patients

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.

New Patient
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

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.

OLIVIA CORTEZ CPHT
Interpreter
19 MYRTLE ST
MEDFORD, OR 97504
Jackson County (541) 842-7747
PHYLLIS T. DUNCKEL MD
Family Medicine
19 MYRTLE ST
MEDFORD, OR 97504
Jackson County (541) 773-3863
TINA JENNINGS OKENFUSS LPC
Counselor (Mental Health)
19 MYRTLE ST
MEDFORD, OR 97504
Jackson County (541) 773-3863
DANA NOELLE BROOKS MA, MFT
Marriage & Family Therapist
19 MYRTLE ST
MEDFORD, OR 97504
Jackson County (541) 773-3863
DR. PAUL D. MATZ MD
Family Medicine
19 MYRTLE ST
MEDFORD, OR 97504
Jackson County (541) 773-3863
DARCIE KATHLEEN STERNENBERG MD
Internal Medicine (Nephrology)
19 MYRTLE ST
MEDFORD, OR 97504
Jackson County (541) 773-3863
SUSAN KATHERINE MACKINNON M.D.
Internal Medicine
19 MYRTLE ST
MEDFORD, OR 97504
Jackson County (541) 773-3863
BRANDON BERIOSO PHARMD
Pharmacist
19 MYRTLE ST
MEDFORD, OR 97504
Jackson County (541) 842-7747

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.

When was this NPI record last updated?

The NPPES record for Kristi Hennan was last updated on June 11, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.