Individual provider Active NPI

Kristin Leigh Serrato, FNP-C

  • Family Nurse Practitioner
  • Sun City, AZ
National Provider Identifier
1063914398
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP11062 Issued in AZ
Practice address
13640 N 99TH Ave Ste 600
Sun City, AZ 85351-2867
Phone
(623) 972-2116
Fax
(623) 972-0521
NPI assigned
Mar 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP11062 AZ Primary

Addresses

Primary practice location

13640 N 99TH Ave Ste 600
Sun City, AZ 85351-2867

Mailing address

645 E Missouri Ave Ste 280
Phoenix, AZ 85012-1349
Phone (602) 264-9100

Other practice location 1

9836 W Yearling Rd # F1300-B
Peoria, AZ 85383-1376
Phone (623) 972-2116

Other practice location 2

14869 W Bell Rd Ste 100
Surprise, AZ 85374-7608
Phone (623) 972-2116

Other identifiers 2

IdentifierTypeStateIssuer
F02181024OtherAZAMERICAN ASSOCIATION OF NURSE PRACTITIONERS
AP11062OtherAZARIZONA STATE BOARD OF NURSING LICENSE NUMBER

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180418001248 AZ Practitioner - Nurse Practitioner 1850654278 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Digestive Health PCGroup PAC ID 6507940731, 134 clinicians

Practice addresses (Care Compare)

13640 N 99TH Ave
Suite 600
Sun City, AZ 85351-2867
Phone (623) 972-2116

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.75 of 100Reported as group
Quality
60.45
Promoting interoperability
97
Improvement activities
40
Cost
81.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Az Care Anesthesia , PLC CurrentSince Sep 15, 2024 Accepting new patients
Touchstone Behavioral Health CurrentSince Jul 11, 2022 Accepting new patients
Social Work Associates LLC CurrentSince Oct 31, 2018 Accepting new patients
Spectrum Healthcare Group, Inc. Current Accepting new patients
Spectrum Healthcare Group, Inc CurrentSince Mar 20, 2020 Accepting new patients
Arizona Digestive Health, PC CurrentSince Oct 7, 2024 Accepting new patients
Touchstone Behavioral Health Current Accepting new patients
Spectrum Healthcare Group, Inc CurrentSince Mar 20, 2020 Accepting new patients
Black Diamond Medical LLC PastSince Sep 1, 2018 Accepting new patients

Locations

12409 W Indian School Rd
Bldg E
Avondale, AZ 85392
Phone (623) 536-5353

8 E Cottonwood St
Bldg A
Cottonwood, AZ 86326
Phone (928) 203-5404

8 E Cottonwood St
Cottonwood, AZ 86326
Phone (928) 203-5404

4494 W Peoria Ave
Ste 115A
Glendale, AZ 85302
Phone (480) 876-4013

5823 W Eugie Ave
Ste A
Glendale, AZ 85304
Phone (602) 439-1717

9836 W Yearling Rd
Unit 1300
Peoria, AZ 85383
Phone (623) 972-2116

15820 N 35th Ave
Ste 14
Phoenix, AZ 85053
Phone (602) 620-3160

15810 N 35th Ave
Phoenix, AZ 85053

645 E Missouri Ave
Ste 280
Phoenix, AZ 85012
Phone (602) 264-9100

990 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 778-7823

7014 E Camelback Rd
#B10089
Scottsdale, AZ 85251
Phone (480) 568-4599

13640 N 99th Ave
Ste 600
Sun City, AZ 85351
Phone (623) 523-0580

14869 W Bell Rd
Ste 100
Surprise, AZ 85374
Phone (623) 972-2116

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18489/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1063914398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 E MISSOURI AVE STE 280",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121349",
            "telephone_number": "602-264-9100",
            "fax_number": "602-264-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13640 N 99TH AVE STE 600",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512867",
            "telephone_number": "623-972-2116",
            "fax_number": "623-972-0521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9836 W Yearling Rd # F1300-B",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853831376",
            "country_code": "US",
            "telephone_number": "623-972-2116",
            "fax_number": "623-972-0521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14869 W Bell Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853747608",
            "country_code": "US",
            "telephone_number": "623-972-2116",
            "fax_number": "623-972-0521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERRATO",
        "first_name": "KRISTIN",
        "middle_name": "LEIGH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ASSOCIATION OF NURSE PRACTITIONERS",
            "identifier": "F02181024",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA STATE BOARD OF NURSING LICENSE NUMBER",
            "identifier": "AP11062",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.