KRISTINE NICHOLE MIMS PMHNP-BC
NPI 1164092532
Nurse Practitioner - Psychiatric/Mental Health in Cicero, NY

Q: What is Kristine Mims's NPI number?

The NPI number for Kristine Mims is 1164092532. It was assigned to this individual provider in the NPPES registry on June 29, 2021. The provider is also known as Kristine Nichole Laflair Pmhnp-Bc.

Q: What is Kristine Mims's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kristine Mims was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 29, 2021PECOS Enrolled

6129 CORDERO DR, CICERO, NY 13039(315) 276-9936 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kristine Nichole Mims Pmhnp-bc NPPES

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

KRISTINE NICHOLE MIMS PMHNP-BC (NPI 1164092532) is an individual psychiatric/mental health provider in Cicero, New York, licensed in New York (403546) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1164092532

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKRISTINE NICHOLE MIMSCredential: PMHNP-BC

Location Address6129 CORDERO DRCicero, NY 13039-7813

Mailing Address6129 Cordero DrCicero, NY 13039-7813 · (315) 276-9936

Phone(315) 276-9936

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 29, 2021

NPPES CertifiedJune 29, 2021

✔ NPI 1164092532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · 403546

6129 CORDERO DR, Cicero, NY 13039

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Other Names 1

Former Name (1)Kristine Nichole Laflair Pmhnp-bc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristine Nichole Mims Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779972708

PECOS Enrollment IDI20211113000095

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 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.

68 services15 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

62 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13039 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

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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 Kristine Mims's NPI number?

The NPI number for Kristine Mims is 1164092532. It was assigned to this individual provider in the NPPES registry on June 29, 2021. The provider is also known as Kristine Nichole Laflair Pmhnp-Bc.

Where is Kristine Mims located?

Kristine Mims practices at 6129 Cordero Dr, Cicero, NY 13039. The listed phone number is (315) 276-9936.

What is Kristine Mims's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kristine Mims enrolled in Medicare?

Yes. Kristine Mims is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristine Mims was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.