MRS. KRISTI LEIGH MIEDECKE
NPI 1619559408
Marriage & Family Therapist in Murrieta, CA
About Mrs. Kristi Leigh Miedecke NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KRISTI LEIGH MIEDECKE (NPI 1619559408) is an individual marriage & family therapist in Murrieta, California and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.
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 (PECOS)
Mrs. Kristi Leigh Miedecke is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kristi Miedecke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 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.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MURRIETA, CA 92563
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 Kristi Miedecke's NPI number?
The NPI number for Kristi Miedecke is 1619559408. It was assigned to this individual provider in the NPPES registry on April 22, 2021.
Where is Kristi Miedecke located?
Kristi Miedecke practices at 29970 Technology Dr Ste 108, Murrieta, CA 92563. The listed phone number is (951) 900-4414.
What is Kristi Miedecke's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Kristi Miedecke enrolled in Medicare?
Yes. Kristi Miedecke is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kristi Miedecke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristi Miedecke reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). 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 Kristi Miedecke'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 Kristi Miedecke was last updated on April 22, 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.
# Mrs. Kristi Leigh Miedecke · NPI 1619559408
Marriage & Family Therapist provider in Murrieta, California. Individual provider, active in the CMS NPPES registry since April 22, 2021.
## Identity
- **NPI:** 1619559408 (Entity type: Individual)
- **Enumerated:** April 22, 2021
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 29970 TECHNOLOGY DR STE 108, Murrieta, CA 92563-2646
- **Phone:** (951) 900-4414
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PC (NPI 1154994846, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 22, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1619559408) · Data from the CMS NPPES public registry.