Active NPI
Krasimir M Hristov, CNP
- Nurse Practitioner
- Roswell, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- CNP-03573
- Practice address
- 400 E College Blvd Ste E
Roswell, NM 88201-7570 - Phone
- (575) 623-3155
- Fax
- (915) 587-6324
- NPI assigned
- Aug 9, 2011
- Last updated
- Oct 9, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | CNP-03573 | NM | Primary |
Addresses
Primary practice location
400 E College Blvd Ste E
Roswell, NM 88201-7570
Mailing address
400 E College Blvd Ste E
Roswell, NM 88201-7570
Phone (575) 623-3155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
400 E College Blvd
Suite E
Roswell, NM 88201-7570
Phone (575) 623-3155
Hospital & facility affiliations
- Enhabit Home Health
- Lovelace Regional Hospital - Roswell
- Artesia General Hospital
- Eastern New Mexico Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 27.11 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 90.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP-03573 | NM | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlas Medical LLC | Multi-Specialty | Current | Accepting new patients |
| Reinecke Medical and Chiropractic Center | Multi-Specialty | Current | Accepting new patients |
Locations
400 E College Blvd
Ste E
Roswell, NM 88201
Phone (575) 623-3155
602 E College Blvd
Roswell, NM 88201
Phone (575) 623-3155
Interoperability endpoints
- https://api.platform.athenahealth.com/1610/brand/1/csg/64/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Nurse Practitioner
- Roswell, NM
- NPI 1992291850
Multi-Specialty
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Artesia, NM
- NPI 1437286044
-
dba Lovelace Regional Hospital-Roswell
- General Acute Care Hospital
- Roswell, NM
- NPI 1972878361
-
dba Eastern New Mexico Medical Center
- General Acute Care Hospital
- Roswell, NM
- NPI 1447221742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1013296938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E COLLEGE BLVD STE E",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882017570",
"telephone_number": "575-623-3155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E COLLEGE BLVD STE E",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882017570",
"telephone_number": "575-623-3155",
"fax_number": "915-587-6324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HRISTOV",
"first_name": "KRASIMIR",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-09",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "CNP-03573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.