DR. KRISTAN DIANA ABERNATHY MD
NPI 1538620141
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

Active since March 27, 2019PECOS Enrolled
MSC08 4640 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-4814 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 20, 2023, Mar 13, 2023 (2 updates tracked since 2023).

About Dr. Kristan Diana Abernathy Md NPPES

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

DR. KRISTAN DIANA ABERNATHY MD (NPI 1538620141) is an individual student in an organized health care education/training program in Albuquerque, New Mexico and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1538620141
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. KRISTAN DIANA ABERNATHYCredential: MD
Location AddressMSC08 4640 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0816
Mailing Address1215 Lee St Box 800904Charlottesville, VA 22908-0816 · (434) 982-1018 · Fax (434) 924-9492
Sole ProprietorNo
Enumeration DateMarch 27, 2019
Last NPPES UpdateJune 20, 20232 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
NPI 1538620141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

MSC08 4640 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131

Secondary Practice Location 1

Location 11215 Lee St # 800904Charlottesville, VA 22908-0816 · Phone (434) 982-1018 · Fax (434) 924-9492

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kristan Diana Abernathy Md 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.

Other Providers at the Same Location NPPES 14

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

Student in an Organized Health Care Education/Training Program
MSC08 4640 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC08 4640 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC08 4640 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC08 4640 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Pathology (Anatomic Pathology & Clinical Pathology)
MSC08 4640 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC08 4640 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC08 4640 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC08 4640 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538620141, enumerated as an "individual" on March 27, 2019.

The provider is located at MSC08 4640 1 UNIVERSITY OF NEW MEXICO ALBUQUERQUE, NM 87131 and the phone number is (505) 272-4814.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.