KRISTIN GRAZINA PRUNSKIS MD
NPI 1407597917
Pediatrics in Gallup, NM

Q: What is Kristin Prunskis's NPI number?

The NPI number for Kristin Prunskis is 1407597917. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Q: What is Kristin Prunskis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kristin Prunskis was last updated on September 30, 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.

Active since April 06, 2022PECOS Enrolled

516 E NIZHONI BLVD, GALLUP, NM 87301(505) 722-1000 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 21, 2025, Apr 6, 2022 (2 updates tracked since 2022).

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About Kristin Grazina Prunskis Md NPPES

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

KRISTIN GRAZINA PRUNSKIS MD (NPI 1407597917) is an individual pediatrics provider in Gallup, New Mexico, licensed in New Mexico (MD2025-0530) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1407597917

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameKRISTIN GRAZINA PRUNSKISCredential: MD

Location Address516 E NIZHONI BLVDGallup, NM 87301-5748

Mailing Address7259 S Bingham Junction BlvdMidvale, UT 84047-4860

Phone(505) 722-1000

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateApril 6, 2022

Last NPPES UpdateSeptember 30, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2025

✔ NPI 1407597917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NM · MD2025-0530

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

516 E NIZHONI BLVD, Gallup, NM 87301

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristin Grazina Prunskis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133626575

PECOS Enrollment IDI20251009004876

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 Kristin Prunskis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dhhs,phs,naihs, Gallup Indian Medical Center

Same address

General Acute Care Hospital

516 E. NIZHONI BLVD.
Gallup, NM 87301

Reassigned Medicare billing, Texas enrollment
618 clinicians in this Medicare group

NPI 1225002322 (505) 722-1000

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 87301 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$96.38 typical visit price

range $17.00 – $135.35

Typical copayment $24.09 (range $4.25 – $33.83)

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 20

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

JENNIFER MARIE MOORE RN, BSN

Registered Nurse (Medical-Surgical)