KRISTEN CORRINE RISOM PA-C
NPI 1366840076
Physician Assistant - Surgical in New York, NY

Q: What is Kristen Risom's NPI number?

The NPI number for Kristen Risom is 1366840076. It was assigned to this individual provider in the NPPES registry on December 11, 2014.

Q: What is Kristen Risom's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Kristen Risom was last updated on January 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since December 11, 2014PECOS Enrolled

1111 AMSTERDAM AVE # CLARK7, NEW YORK, NY 10025(212) 523-4000 Get Directions Write a Review

NPPES record last updated: January 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kristen Corrine Risom Pa-c NPPES

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

KRISTEN CORRINE RISOM PA-C (NPI 1366840076) is an individual surgical provider in New York, New York, licensed in New York (018318) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366840076

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameKRISTEN CORRINE RISOMCredential: PA-C

Location Address1111 AMSTERDAM AVE # CLARK7New York, NY 10025-1716

Mailing Address1111 Amsterdam Ave # Clark7New York, NY 10025-1716

Phone(212) 523-4000

Sole ProprietorNo

Enumeration DateDecember 11, 2014

Last NPPES UpdateJanuary 5, 2015

✔ NPI 1366840076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in NY · 018318

1111 AMSTERDAM AVE # CLARK7, New York, NY 10025

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristen Corrine Risom Pa-c 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.

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 Kristen Risom's NPI number?

The NPI number for Kristen Risom is 1366840076. It was assigned to this individual provider in the NPPES registry on December 11, 2014.

Where is Kristen Risom located?

Kristen Risom practices at 1111 Amsterdam Ave # Clark7, New York, NY 10025. The listed phone number is (212) 523-4000.

What is Kristen Risom's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kristen Risom enrolled in Medicare?

Yes. Kristen Risom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristen Risom was last updated on January 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.