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KRISTEN PEDDYCORD FNP-BC
NPI 1144704933
Nurse Practitioner - Family in Fort Mohave, AZ

Active since September 18, 2018PECOS Enrolled
5330 S HIGHWAY 95, FORT MOHAVE, AZ 86426(928) 788-2273 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 28, 2025, Aug 28, 2020, Sep 18, 2018 (3 updates tracked since 2018).

About Kristen Peddycord Fnp-bc NPPES

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

KRISTEN PEDDYCORD FNP-BC (NPI 1144704933) is an individual family provider in Fort Mohave, Arizona, licensed in Arizona (AP11814) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bullhead City.

NPPES Registry Identity

NPI1144704933
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTEN PEDDYCORDCredential: FNP-BC
Location Address5330 S HIGHWAY 95Fort Mohave, AZ 86426-9225
Mailing Address3735 Hway 95Bullhead City, AZ 86442-8199 · (928) 444-1444 · Fax (928) 444-1445
Phone(928) 788-2273
Sole ProprietorYes
Enumeration DateSeptember 18, 2018
Last NPPES UpdateMarch 28, 20253 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
✔ NPI 1144704933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · AP11814
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP11814 (AZ)
5330 S HIGHWAY 95, Fort Mohave, AZ 86426
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Secondary Practice Location 1

Location 13735 Highway 95Bullhead City, AZ 86442-8199 · Phone (928) 444-1444

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristen Peddycord Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

7

Medicare enrollment records show Kristen Peddycord reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nes Arizona Inc
0.1 mi
Emergency Medicine
5330 S HIGHWAY 95
Fort Mohave, AZ 86426
  • Reassigned Medicare billing, Arizona enrollment
  • 60 clinicians in this Medicare group
NPI 1285163121 (928) 788-2273
Exceptional Physicians Group Bullhead City Hospital PLLC
6.7 mi
Emergency Medical Services
2365 HIGHWAY 95
Bullhead City, AZ 86442
  • Reassigned Medicare billing, Arizona enrollment
  • 147 clinicians in this Medicare group
NPI 1518732023 (928) 224-2443
Exceptional Physicians Group Prescott Hospital PLLC
130 mi
Emergency Medical Services
4822 E STATE ROUTE 69
Prescott, AZ 86301
  • Reassigned Medicare billing, Arizona enrollment
  • 123 clinicians in this Medicare group
NPI 1720807670 (972) 740-9335
Exceptional Physicians Group Yuma Hospital PLLC
160 mi
Emergency Medicine
2648 S ARABY RD
Yuma, AZ 85365
  • Reassigned Medicare billing, Arizona enrollment
  • 147 clinicians in this Medicare group
NPI 1235857699 (469) 341-7800
Exceptional Physicians Group Arizona PLLC
199 mi
Emergency Medical Services
19060 N JOHN WAYNE PARKWAY
Maricopa, AZ 85139
  • Reassigned Medicare billing, Arizona enrollment
  • 159 clinicians in this Medicare group
NPI 1447910229 (480) 631-0678
Emergency Physicians Southwest, PC
199 mi
Emergency Medicine
6644 E BAYWOOD AVE
Mesa, AZ 85206
  • Reassigned Medicare billing, Arizona enrollment
  • 289 clinicians in this Medicare group
NPI 1912053752 (480) 321-2000
Nes Oklahoma, Inc.
989 mi
Emergency Medicine
1900 N 14TH ST
Ponca City, OK 74601
  • Reassigned Medicare billing, Oklahoma enrollment
  • 130 clinicians in this Medicare group
NPI 1528040722 (580) 765-3321

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 5

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
117 services115 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
76 services75 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
25 services25 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
20 services20 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86426 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.

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.

ELIZABETH SOSA COTA
Occupational Therapy Assistant
5330 S HIGHWAY 95
FORT MOHAVE, AZ 86426
Mohave County (928) 788-2273
DR. NATHANIEL CHARLES HOLLISTER MD
Emergency Medicine
5330 S HIGHWAY 95
FORT MOHAVE, AZ 86426
Mohave County (928) 788-2273
PATRICK L BALLOU PA-C
Physician Assistant
5330 S HIGHWAY 95
FORT MOHAVE, AZ 86426
Mohave County (928) 788-7065
DR. MARK E LAURSEN MD
Emergency Medicine
5330 S HIGHWAY 95
FORT MOHAVE, AZ 86426
Mohave County (928) 788-7064
ADRIANA HALL DO
Internal Medicine
5330 S HIGHWAY 95
FORT MOHAVE, AZ 86426
Mohave County (928) 788-7077
VALLEY VIEW EMERGENCY GROUP LLC
Emergency Medicine
5330 S HIGHWAY 95
FORT MOHAVE, AZ 86426
Mohave County (928) 788-7115
PHC-FORT MOHAVE INC
General Acute Care Hospital
5330 S HIGHWAY 95
FORT MOHAVE, AZ 86426
Mohave County (928) 788-7845
MS. RACHEL OTIS MLS
Specialist/Technologist, Pathology
5330 S HIGHWAY 95
FORT MOHAVE, AZ 86426
Mohave County (948) 788-7189

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 Peddycord's NPI number?

The NPI number for Kristen Peddycord is 1144704933. It was assigned to this individual provider in the NPPES registry on September 18, 2018.

Where is Kristen Peddycord located?

Kristen Peddycord practices at 5330 S Highway 95, Fort Mohave, AZ 86426. The listed phone number is (928) 788-2273.

What is Kristen Peddycord's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kristen Peddycord enrolled in Medicare?

Yes. Kristen Peddycord is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kristen Peddycord's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Peddycord reassigns Medicare benefits to 7 organizations: Nes Arizona Inc (Fort Mohave, AZ), Exceptional Physicians Group Bullhead City Hospital PLLC (Bullhead City, AZ), Exceptional Physicians Group Prescott Hospital PLLC (Prescott, AZ), Exceptional Physicians Group Yuma Hospital PLLC (Yuma, AZ), Exceptional Physicians Group Arizona PLLC (Maricopa, AZ) and 2 more organizations, listed in the Medicare section above. 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 Peddycord'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 Kristen Peddycord was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.