KRISTINA SPITALE-EFSTRATIS ARPN
NPI 1225532542
Nurse Practitioner in Reno, NV

Active since March 21, 2018PECOS EnrolledAccepts Medicare Assignment
5437 KIETZKE LN, RENO, NV 89511(775) 322-4550(775) 322-4956 Get Directions Write a Review

NPPES record last updated: September 12, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 12, 2026, Aug 15, 2026, Apr 11, 2024 and 3 more (6 updates tracked since 2018).

About Kristina Spitale-efstratis Arpn NPPES

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

KRISTINA SPITALE-EFSTRATIS ARPN (NPI 1225532542) is an individual nurse practitioner in Reno, Nevada, licensed in Nevada (APRN002867) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Renown Regional Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1225532542
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKRISTINA SPITALE-EFSTRATISCredential: ARPN
Location Address5437 KIETZKE LNReno, NV 89511-1088
Mailing Address5437 Kietzke LnReno, NV 89511-1088 · (775) 322-4550 · Fax (775) 322-4956
Fax(775) 322-4956
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 21, 2018
Last NPPES UpdateSeptember 12, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2026
✔ NPI 1225532542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NV · APRN002867
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5437 KIETZKE LN, Reno, NV 89511

Secondary Practice Locations 5

Location 15961 S Los Altos Pkwy Ste 107Sparks, NV 89436-2501 · Phone (775) 322-4550 · Fax (775) 322-4956
Location 22340 S Carson StCarson City, NV 89701-4540 · Phone (775) 322-4550 · Fax (775) 322-4956
Location 3932 Ryland StReno, NV 89502-1773 · Phone (775) 322-4550 · Fax (775) 322-4956
Location 46 Steptoe CirEly, NV 89301-2692 · Phone (775) 322-4550 · Fax (775) 322-4956
Location 51995 Errecart Blvd Ste 205Elko, NV 89801-8337 · Phone (775) 322-4550 · Fax (775) 322-4956

Other Identifiers 1

Other14250582NV · Caqh

Accepted Insurance

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

Kristina Spitale-efstratis Arpn 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 ID9133474653
PECOS Enrollment IDI20180623000137
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 Kristina Spitale-efstratis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
5437 KIETZKE LN
Reno, NV 89511
  • Reassigned Medicare billing, Nevada enrollment
  • 25 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.

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.
44 services42 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Renown Regional Medical Center

Acute Care Hospitals · Reno, NV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290001
Location1155 Mill StreetReno, NV 89502 · Washoe County
Emergency services Birthing friendly

Carson Tahoe Regional Medical Center

Acute Care Hospitals · Carson City, NV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290019
Location1600 Medical ParkwayCarson City, NV 89703 · Carson City County
Emergency services Birthing friendly

Northern Nevada Medical Center

Acute Care Hospitals · Sparks, NV
3/5 CMS rating
OwnershipProprietary
CMS Certification Number290032
Location2375 E Prater WaySparks, NV 89434 · Washoe County
Emergency services

Renown South Meadows Medical Center

Acute Care Hospitals · Reno, NV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290049
Location10101 Double R BlvdReno, NV 89521 · Washoe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89511 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers26 claims2,925 services$0.32 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers26 claims2,820 services$0.20 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
9 suppliers21 claims21 services$18.97 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
8 suppliers28 claims35 services$11.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner
5437 KIETZKE LN
RENO, NV 89511
Internal Medicine (Nephrology)
5437 KIETZKE LN
RENO, NV 89511
Nurse Practitioner (Family)
5437 KIETZKE LN
RENO, NV 89511
Internal Medicine (Pulmonary Disease)
5437 KIETZKE LN
RENO, NV 89511
Internal Medicine (Nephrology)
5437 KIETZKE LN
RENO, NV 89511
Internal Medicine (Nephrology)
5437 KIETZKE LN
RENO, NV 89511
Internal Medicine (Infectious Disease)
5437 KIETZKE LN
RENO, NV 89511
Clinical Nurse Specialist (Adult Health)
5437 KIETZKE LN
RENO, NV 89511

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 Kristina Spitale-efstratis's NPI number?

The NPI number for Kristina Spitale-efstratis is 1225532542. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Where is Kristina Spitale-efstratis located?

Kristina Spitale-efstratis practices at 5437 Kietzke Ln, Reno, NV 89511. The listed phone number is (775) 322-4550.

What is Kristina Spitale-efstratis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kristina Spitale-efstratis enrolled in Medicare?

Yes. Kristina Spitale-efstratis 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 Kristina Spitale-efstratis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Spitale-efstratis reassigns Medicare benefits to Oneill Clark Narvarte & Vicks A Professional Corporation (Reno, NV). 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 Kristina Spitale-efstratis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristina Spitale-efstratis accept?

Health plans from Molina Healthcare list Kristina Spitale-efstratis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kristina Spitale-efstratis affiliated with any hospitals?

According to CMS data, Kristina Spitale-efstratis is affiliated with Renown Regional Medical Center, Carson Tahoe Regional Medical Center, Northern Nevada Medical Center and Renown South Meadows Medical Center.

When was this NPI record last updated?

The NPPES record for Kristina Spitale-efstratis was last updated on September 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.