KRISTINA TARANGO DAVIDSON AGACNP
NPI 1366205007
Nurse Practitioner in Fresno, CA
About Kristina Tarango Davidson Agacnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTINA TARANGO DAVIDSON AGACNP (NPI 1366205007) is an individual nurse practitioner in Fresno, California, licensed in California (95029458) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fresno, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kristina Tarango Davidson Agacnp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Davidson's NPI number?
The NPI number for Kristina Davidson is 1366205007. It was assigned to this individual provider in the NPPES registry on February 5, 2024. The provider is also known as Kristina Marie Tarango Np.
Where is Kristina Davidson located?
Kristina Davidson practices at 1510 E Herndon Ave Ste 210, Fresno, CA 93720. The listed phone number is (559) 450-7455.
What is Kristina Davidson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kristina Davidson enrolled in Medicare?
Yes. Kristina Davidson 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.
When was this NPI record last updated?
The NPPES record for Kristina Davidson was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kristina Tarango Davidson, AGACNP · NPI 1366205007
Nurse Practitioner physician in Fresno, California. Individual provider, active in the CMS NPPES registry since February 5, 2024.
## Identity
- **NPI:** 1366205007 (Entity type: Individual)
- **Enumerated:** February 5, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 95029458 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1510 E HERNDON AVE STE 210, Fresno, CA 93720-3333
- **Phone:** (559) 450-7455 · **Fax:** (559) 450-7473
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1366205007) · Data from the CMS NPPES public registry.