KRISTINA PATRICK APN
NPI 1821456864
Nurse Practitioner - Gerontology in Glendale, AZ
About Kristina Patrick Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTINA PATRICK APN (NPI 1821456864) is an individual gerontology provider in Glendale, Arizona, licensed in Arizona (322668) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Kristina Patrick Apn 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 Reassignments
2Medicare enrollment records show Kristina Patrick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Apache Junction, AZ 85120
- Reassigned Medicare billing, Arizona enrollment
- 93 clinicians in this Medicare group
Carol Stream, IL 60122
- Reassigned Medicare billing, Illinois enrollment
- 4,817 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kristina Patrick's NPI number?
The NPI number for Kristina Patrick is 1821456864. It was assigned to this individual provider in the NPPES registry on February 5, 2016.
Where is Kristina Patrick located?
Kristina Patrick practices at 17500 N 67th Ave Apt 1032, Glendale, AZ 85308. The listed phone number is (815) 210-9291.
What is Kristina Patrick's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Kristina Patrick enrolled in Medicare?
Yes. Kristina Patrick 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 organizations bill Medicare for Kristina Patrick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Patrick reassigns Medicare benefits to 2 organizations: Oak Street Health Physicians Group Of Arizona PLLC (Apache Junction, AZ) and Northwestern Medical Faculty Foundation (Carol Stream, IL). Each 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 Kristina Patrick'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 Kristina Patrick was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kristina Patrick, APN · NPI 1821456864
Gerontology physician in Glendale, Arizona. Individual provider, active in the CMS NPPES registry since February 5, 2016.
## Identity
- **NPI:** 1821456864 (Entity type: Individual)
- **Enumerated:** February 5, 2016
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 322668 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 17500 N 67TH AVE APT 1032, Glendale, AZ 85308-1081
- **Phone:** (815) 210-9291
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Oak Street Health Physicians Group Of Arizona PLLC (NPI 1063083590, Apache Junction, AZ); Northwestern Medical Faculty Foundation (NPI 1346235314, Carol Stream, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** January 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1821456864) · Data from the CMS NPPES public registry.