KRISTIN LANDAVAZO
NPI 1598420846
Nurse Practitioner - Family in Glendale, AZ
About Kristin Landavazo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTIN LANDAVAZO (NPI 1598420846) is an individual family provider in Glendale, Arizona, licensed in Arizona (F09210833) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kristin Landavazo 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.
Medicare Billing Reassignment
Medicare enrollment records show Kristin Landavazo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Phoenix, AZ 85048
- Reassigned Medicare billing, Arizona enrollment
- 22 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85306 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GLENDALE, AZ 85306
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 Kristin Landavazo's NPI number?
The NPI number for Kristin Landavazo is 1598420846. It was assigned to this individual provider in the NPPES registry on November 2, 2021.
Where is Kristin Landavazo located?
Kristin Landavazo practices at 5555 W Thunderbird Rd, Glendale, AZ 85306. The listed phone number is (602) 865-5555.
What is Kristin Landavazo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kristin Landavazo enrolled in Medicare?
Yes. Kristin Landavazo 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.
Which organization bills Medicare for Kristin Landavazo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Landavazo reassigns Medicare benefits to Athena Medical Group (Phoenix, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristin Landavazo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kristin Landavazo was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.