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KRISTAL RAYNE ETSITTY
NPI 1245705946
Social Worker - Clinical in Phoenix, AZ

Active since October 09, 2018PECOS Enrolled
4041 N CENTRAL AVE, PHOENIX, AZ 85012(602) 279-5262 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kristal Rayne Etsitty NPPES

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

KRISTAL RAYNE ETSITTY (NPI 1245705946) is an individual clinical provider in Phoenix, Arizona, licensed in Arizona (LCSW-23289) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1245705946
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTAL RAYNE ETSITTY
Location Address4041 N CENTRAL AVEPhoenix, AZ 85012-3330
Mailing Address4041 N Central AvePhoenix, AZ 85012-3330 · (602) 279-5262
Phone(602) 279-5262
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 9, 2018
Last NPPES UpdateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
✔ NPI 1245705946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in AZ · LCSW-23289
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4041 N CENTRAL AVE, Phoenix, AZ 85012
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristal Rayne Etsitty is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749771095
PECOS Enrollment IDI20251114000239
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 Kristal Etsitty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Salt River Pima-Maricopa Indian Community
12 mi
Community Health
10005 E OSBORN RD
Scottsdale, AZ 85256
  • Reassigned Medicare billing, Texas enrollment
  • 147 clinicians in this Medicare group
NPI 1942668991 (480) 362-7400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85012 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
$0.00 typical visit price
range $55.44 – $168.60
Typical copayment $0.00 (range $13.86 – $42.15)
Most-billed visit code NA
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMBER JOSLYN LIAC-155367
Counselor (Addiction (Substance Use Disorder))
4041 N CENTRAL AVE
PHOENIX, AZ 85012
Maricopa County (602) 279-5262
KATHLEEN SHURBA RDH
Dental Hygienist
4041 N CENTRAL AVE, BLDG.C
PHOENIX, AZ 85012
Maricopa County (602) 279-5262
SARAH ANN GRUMBLEY LMSW
Social Worker (Clinical)
4041 N CENTRAL AVE, BLDG. C
PHOENIX, AZ 85012
Maricopa County (602) 279-5262
SERENE MAZHAR RD
Dietitian, Registered
4041 N CENTRAL AVE, BLDG. C
PHOENIX, AZ 85012
Maricopa County (602) 279-5262
JADAH NOHEA MILAM-MORRISON DH
Dental Hygienist
4041 N CENTRAL AVE, BLDG. C
PHOENIX, AZ 85012
Maricopa County (602) 279-5262
MARICOPA COUNTY DEPARTMENT OF PUBLIC HEALTH
Public Health or Welfare
4041 N CENTRAL AVE, SUITE 600
PHOENIX, AZ 85012
Maricopa County (602) 506-6662
NOLAN FRISCH DDS
Dentist
4041 N CENTRAL AVE
PHOENIX, AZ 85012
Maricopa County (602) 279-5262

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 Kristal Etsitty's NPI number?

The NPI number for Kristal Etsitty is 1245705946. It was assigned to this individual provider in the NPPES registry on October 9, 2018.

Where is Kristal Etsitty located?

Kristal Etsitty practices at 4041 N Central Ave, Phoenix, AZ 85012. The listed phone number is (602) 279-5262.

What is Kristal Etsitty's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kristal Etsitty enrolled in Medicare?

Yes. Kristal Etsitty is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kristal Etsitty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristal Etsitty reassigns Medicare benefits to Salt River Pima-Maricopa Indian Community (Scottsdale, AZ). 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 Kristal Etsitty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristal Etsitty accept?

Health plans from Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc. and UnitedHealthcare list Kristal Etsitty 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.

When was this NPI record last updated?

The NPPES record for Kristal Etsitty was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.