KRISTINA MARIE ETHERIDGE NP
NPI 1730987819
Nurse Practitioner in Dallas, TX

Q: What is Kristina Etheridge's NPI number?

The NPI number for Kristina Etheridge is 1730987819. It was assigned to this individual provider in the NPPES registry on March 5, 2025.

Q: What is Kristina Etheridge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since March 05, 2025PECOS EnrolledAccepts Medicare Assignment

1018 N ZANG BLVD STE 110, DALLAS, TX 75208(972) 266-8765(972) 266-5511 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 15, 2026, Oct 7, 2025, Mar 5, 2025 (3 updates tracked since 2025).

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About Kristina Marie Etheridge Np NPPES

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

KRISTINA MARIE ETHERIDGE NP (NPI 1730987819) is an individual nurse practitioner in Dallas, Texas, licensed in Texas (F02250519) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Woman's Medical College (2024).

NPPES Registry Identity

NPI1730987819

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKRISTINA MARIE ETHERIDGECredential: NP

Location Address1018 N ZANG BLVD STE 110Dallas, TX 75208-4123

Mailing Address1018 N Zang Blvd Ste 110Dallas, TX 75208-4123 · (972) 266-8765 · Fax (972) 266-5511

Phone(972) 266-8765

Fax(972) 266-5511

Sole ProprietorNo

Medical School CMSWoman's Medical CollegeGraduated 2024

Enumeration DateMarch 5, 2025

Last NPPES UpdateJanuary 15, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2026

✔ NPI 1730987819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · F02250519

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1018 N ZANG BLVD STE 110, Dallas, TX 75208

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristina Marie Etheridge Np 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.

PECOS PAC ID3072004530

PECOS Enrollment IDI20260121004304

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75208 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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 5

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

AMY ELIZABETH MICHAELS PA

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