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KATHRYN ELIZABETH KIZZAR FNP-C
NPI 1912463589
Nurse Practitioner - Family in Apple Valley, CA

Active since February 19, 2019PECOS Enrolled
12143 NAVAJO RD, APPLE VALLEY, CA 92308(760) 240-1144 Get Directions Write a Review

NPPES record last updated: February 19, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kathryn Elizabeth Kizzar Fnp-c NPPES

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

KATHRYN ELIZABETH KIZZAR FNP-C (NPI 1912463589) is an individual family provider in Apple Valley, California, licensed in California (95083620) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1912463589
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHRYN ELIZABETH KIZZARCredential: FNP-C
Location Address12143 NAVAJO RDApple Valley, CA 92308-7250
Mailing Address625 W Yale StOntario, CA 91762-1918 · (925) 202-1331
Phone(760) 240-1144
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 19, 2019
✔ NPI 1912463589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95083620
12143 NAVAJO RD, Apple Valley, CA 92308
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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 (PECOS)

Kathryn Elizabeth Kizzar Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143699785
PECOS Enrollment IDI20221203000488
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 92308 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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

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

VIOLET KIGOONYA FNP
Nurse Practitioner (Family)
12143 NAVAJO RD
APPLE VALLEY, CA 92308
San Bernardino County (310) 598-0875

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 Kathryn Kizzar's NPI number?

The NPI number for Kathryn Kizzar is 1912463589. It was assigned to this individual provider in the NPPES registry on February 19, 2019.

Where is Kathryn Kizzar located?

Kathryn Kizzar practices at 12143 Navajo Rd, Apple Valley, CA 92308. The listed phone number is (760) 240-1144.

What is Kathryn Kizzar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kathryn Kizzar enrolled in Medicare?

Yes. Kathryn Kizzar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathryn Kizzar was last updated on February 19, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.