1. Home
  2. Directory
  3. Arizona
  4. San Tan Valley
  5. Nurse Practitioner
  6. NPI Profile

KRISTINA A MCKINZIE FNP
NPI 1306569090
Nurse Practitioner - Family in San Tan Valley, AZ

Active since September 19, 2022PECOS Enrolled
10593 E AMERICAN PRIDE DR, SAN TAN VALLEY, AZ 85143(619) 201-0835 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 5, 2025, Jan 9, 2025, Oct 2, 2024 and 1 more (4 updates tracked since 2022).

About Kristina A Mckinzie Fnp NPPES

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

KRISTINA A MCKINZIE FNP (NPI 1306569090) is an individual family provider in San Tan Valley, Arizona, licensed in Arizona (314933) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306569090
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTINA A MCKINZIECredential: FNP
Location Address10593 E AMERICAN PRIDE DRSan Tan Valley, AZ 85143-7978
Mailing Address10593 E American Pride DrSan Tan Valley, AZ 85143-7978 · (619) 201-0835
Phone(619) 201-0835
Sole ProprietorYes
Enumeration DateSeptember 19, 2022
Last NPPES UpdateMay 5, 20254 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
✔ NPI 1306569090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · 314933
10593 E AMERICAN PRIDE DR, San Tan Valley, AZ 85143
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristina A Mckinzie Fnp 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

4

Medicare enrollment records show Kristina Mckinzie reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Revive Wellness And Beauty, LLC
Same address
Family
10593 E AMERICAN PRIDE DR
San Tan Valley, AZ 85143
  • Reassigned Medicare billing, Arizona enrollment
NPI 1265230148 (619) 201-0835
Mulberry Medical LLC
29 mi
Family Medicine
5801 S MCCLINTOCK DR STE 104
Tempe, AZ 85283
  • Reassigned Medicare billing, Arizona enrollment
  • 42 clinicians in this Medicare group
NPI 1831980986 (623) 220-2601
Mobileonedocs, LLC
39 mi
Geriatric Medicine
10115 E BELL RD, #107-234
Scottsdale, AZ 85260
  • Reassigned Medicare billing, Arizona enrollment
  • 38 clinicians in this Medicare group
NPI 1629424379 (888) 709-8721
MD Medical Group, LLC
42 mi
Internal Medicine
7500 N DREAMY DRAW DR STE 211A
Phoenix, AZ 85020
  • Reassigned Medicare billing, Arizona enrollment
  • 3 clinicians in this Medicare group
NPI 1508609017 (602) 266-9971

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 85143 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

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

REVIVE WELLNESS AND BEAUTY, LLC
Nurse Practitioner (Family)
10593 E AMERICAN PRIDE DR
SAN TAN VALLEY, AZ 85143
Pinal County (619) 201-0835

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 Mckinzie's NPI number?

The NPI number for Kristina Mckinzie is 1306569090. It was assigned to this individual provider in the NPPES registry on September 19, 2022.

Where is Kristina Mckinzie located?

Kristina Mckinzie practices at 10593 E American Pride Dr, San Tan Valley, AZ 85143. The listed phone number is (619) 201-0835.

What is Kristina Mckinzie's specialty?

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

Is Kristina Mckinzie enrolled in Medicare?

Yes. Kristina Mckinzie is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kristina Mckinzie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Mckinzie reassigns Medicare benefits to 4 organizations: Revive Wellness And Beauty, LLC (San Tan Valley, AZ), Mulberry Medical LLC (Tempe, AZ), Mobileonedocs, LLC (Scottsdale, AZ) and MD Medical Group, LLC (Phoenix, AZ). 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 Kristina Mckinzie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristina Mckinzie accept?

Health plans from Imperial Insurance Companies, Inc. list Kristina Mckinzie 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 Kristina Mckinzie was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.