KIRSTYN PRATER DNP
NPI 1720641657
Nurse Practitioner in Mesa, AZ
About Kirstyn Prater Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIRSTYN PRATER DNP (NPI 1720641657) is an individual nurse practitioner in Mesa, Arizona, licensed in Arizona (224951) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kirstyn Prater Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kirstyn Prater reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Phoenix, AZ 85012
- Reassigned Medicare billing, Arizona enrollment
- 538 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
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 85202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
MESA, AZ 85202
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 Kirstyn Prater's NPI number?
The NPI number for Kirstyn Prater is 1720641657. It was assigned to this individual provider in the NPPES registry on April 16, 2019.
Where is Kirstyn Prater located?
Kirstyn Prater practices at 1520 S Dobson Rd, Mesa, AZ 85202. The listed phone number is (480) 412-4839.
What is Kirstyn Prater's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kirstyn Prater enrolled in Medicare?
Yes. Kirstyn Prater is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kirstyn Prater's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kirstyn Prater reassigns Medicare benefits to Banner Physician Specialists Arizona LLC (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 Kirstyn Prater's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kirstyn Prater accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Kirstyn Prater as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kirstyn Prater was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Kirstyn Prater, DNP · NPI 1720641657
Nurse Practitioner physician in Mesa, Arizona. Individual provider, active in the CMS NPPES registry since April 16, 2019.
## Identity
- **NPI:** 1720641657 (Entity type: Individual)
- **Enumerated:** April 16, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 224951 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 1520 S DOBSON RD, Mesa, AZ 85202-4725
- **Phone:** (480) 412-4839
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Banner Physician Specialists Arizona LLC (NPI 1033730429, Phoenix, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1720641657) · Data from the CMS NPPES public registry.