Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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 October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 15, 2026, Jun 29, 2021 (2 updates tracked since 2021).

On this page

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, maintains a secondary practice location in Syracuse, 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) 538-1364 · Fax (315) 291-6412

Phone(315) 276-9936

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 29, 2021

Last NPPES UpdateOctober 15, 20262 updates tracked since enumeration

NPPES CertifiedOctober 15, 2026

✔ 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

Open in Google Maps ↗

Other Names 1

Former Name (1)Kristine Nichole Laflair Pmhnp-bc

Secondary Practice Location 1

Location 1200 Gateway Park Dr Bldg BSyracuse, NY 13212-3760 · Phone (315) 491-7770

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Kristine Mims reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

I - View Psychiatric Np Behavioral Therapy PC

5.0 mi

Psychiatric/Mental Health

5640 E TAFT RD, 5096
Syracuse, NY 13220

Reassigned Medicare billing, New York enrollment
6 clinicians in this Medicare group

NPI 1720535099 (315) 552-1949

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.

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.

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.

Which organization bills Medicare for Kristine Mims's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristine Mims reassigns Medicare benefits to I - View Psychiatric Np Behavioral Therapy PC (Syracuse, NY). 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 Kristine Mims'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 Kristine Mims was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.