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KRISTINA PATRICK APN
NPI 1821456864
Nurse Practitioner - Gerontology in Glendale, AZ

Active since February 05, 2016PECOS EnrolledAccepts Medicare Assignment
17500 N 67TH AVE APT 1032, GLENDALE, AZ 85308(815) 210-9291 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 15, 2026, Aug 7, 2025, Feb 5, 2016 (3 updates tracked since 2016).

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

NPI1821456864
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKRISTINA PATRICKCredential: APN
Location Address17500 N 67TH AVE APT 1032Glendale, AZ 85308-1081
Mailing Address17500 N 67th Ave Apt 1032Glendale, AZ 85308-1081 · (815) 210-9291
Phone(815) 210-9291
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 5, 2016
Last NPPES UpdateJanuary 15, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
✔ NPI 1821456864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in AZ · 322668
17500 N 67TH AVE APT 1032, Glendale, AZ 85308
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Secondary Practice Location 1

Location 11940 W Indian School Rd Ste 1Phoenix, AZ 85015-5112 · Phone (602) 782-1880 · Fax (602) 671-6915

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 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.

PECOS PAC ID3870845597
PECOS Enrollment IDI20250922000490
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 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.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

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 6 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.