Krista Ann Roppelt, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

246766 Issued in AZ

Practice address

3155 E Southern Ave Ste 203
Mesa, AZ 85204-5521

Phone

(480) 325-8173

Fax

(480) 325-8179

NPI assigned

Aug 26, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Krista Clevenger Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arizona Lung & Sleep Institute PLLC

  • Pulmonary Disease Physician
  • Mesa, AZ
  • NPI 1477857852
  Medicare reassignment NPD
• East Valley Center for Pulmonary & Sleep Disorders Inc

  • Pulmonary Disease Physician
  • Mesa, AZ
  • NPI 1235274614
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1003429218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988 E MCNAIR DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852834767",
            "telephone_number": "480-238-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 E SOUTHERN AVE STE 203",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045521",
            "telephone_number": "480-325-8173",
            "fax_number": "480-325-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROPPELT",
        "first_name": "KRISTA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "246766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "CLEVENGER",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ronin Medical Consultants, PLLC
• Ronin Sleep Solutions LLC
• Roots Chiropractic, LLC
• Jamie V Ropacki, MD
• Felicia Roper
• Gleidys Roque
• Dakota Lynn Rosa
• Jessica Rosales, LMT
• Rose Canyon Health and Wellness LLC
• Rose in Home Services

• Family Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.