KRISTALLE C PAYANO PA-C
NPI 1366710436
Physician Assistant - Medical in Phoenix, AZ

Active since December 05, 2011PECOS EnrolledAccepts Medicare Assignment
11034 N 23RD DR # 105B, PHOENIX, AZ 85029(602) 639-0189 Get Directions Write a Review

NPPES record last updated: February 12, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 12, 2020, Feb 7, 2020, Apr 11, 2019 (3 updates tracked since 2019).

About Kristalle C Payano Pa-c NPPES

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

KRISTALLE C PAYANO PA-C (NPI 1366710436) is an individual medical provider in Phoenix, Arizona, licensed in Arizona (7218) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1366710436
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKRISTALLE C PAYANOCredential: PA-C
Location Address11034 N 23RD DR # 105BPhoenix, AZ 85029-4743
Mailing Address347 Mount Pleasant Ave, Suite 205West Orange, NJ 07052-2744
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 5, 2011
Last NPPES UpdateFebruary 12, 20203 updates tracked since enumeration
NPI 1366710436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in AZ · 7218
11034 N 23RD DR # 105B, Phoenix, AZ 85029

Secondary Practice Locations 5

Location 1830 Ainsworth DrPrescott, AZ 86301-1630 · Phone (928) 776-0325 · Fax (928) 776-0405
Location 22820 N Glassford Hill Rd Ste 107Prescott Valley, AZ 86314-2256 · Phone (928) 772-8553 · Fax (928) 772-3861
Location 3203 S Candy Ln Ste 14Cottonwood, AZ 86326-4120 · Phone (928) 639-3387 · Fax (928) 634-0311
Location 418325 N Allied Way Ste 120Phoenix, AZ 85054-3107 · Phone (928) 776-0325 · Fax (928) 776-0405
Location 5347 Mount Pleasant Ave, Suite 205West Orange, NJ 07052-2744 · Phone (973) 571-2121

Accepted Insurance

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

Kristalle C Payano Pa-c 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 ID4183891336
PECOS Enrollment IDI20190401002414
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.

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services13 patients

Other Providers at the Same Location NPPES 3

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

Physician Assistant (Medical)
11034 N 23RD DR # 105B
PHOENIX, AZ 85029
Physician Assistant
11034 N 23RD DR # 105B
PHOENIX, AZ 85029
Dermatology
11034 N 23RD DR # 105B
PHOENIX, AZ 85029

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 Kristalle Payano's NPI number?

The NPI number for Kristalle Payano is 1366710436. It was assigned to this individual provider in the NPPES registry on December 5, 2011.

Where is Kristalle Payano located?

Kristalle Payano practices at 11034 N 23rd Dr # 105B, Phoenix, AZ 85029. The listed phone number is (602) 639-0189.

What is Kristalle Payano's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kristalle Payano enrolled in Medicare?

Yes. Kristalle Payano 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.

What insurance does Kristalle Payano accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and UnitedHealthcare list Kristalle Payano 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 Kristalle Payano was last updated on February 12, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.