Individual provider Active NPI

Kristina M Combs, FNP

  • Family Medicine Physician
  • Alma, AR
National Provider Identifier
1073017521
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A005509 Issued in AR
Practice address
825 Highway 71 N
Alma, AR 72921-5114
Phone
(479) 632-6688
Fax
(479) 632-0055
NPI assigned
Mar 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A005509 AR Primary

Addresses

Primary practice location

825 Highway 71 N
Alma, AR 72921-5114

Mailing address

825 Highway 71 N
Alma, AR 72921-5114
Phone (479) 632-6688

Other identifiers 1

IdentifierTypeStateIssuer
231606758MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20180411000115 AR Practitioner - Nurse Practitioner 9830452523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Medical Group, PLLCGroup PAC ID 0345334504, 3 clinicians

Practice addresses (Care Compare)

825 Hwy 71 N
Alma, AR 72921-5114
Phone (479) 632-6688

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Van Buren Hma, LLC Family Medicine Current Accepting new patients
Cornerstone Medical Group, PLLC Family Medicine CurrentSince Feb 3, 2021 Accepting new patients

Locations

825 Highway 71 N
Alma, AR 72921
Phone (479) 632-6688

Interoperability endpoints

  • Direct secure messaging: kristina.combs@cmgp.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HIJACA/Endpoint/HIJACA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1073017521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 HIGHWAY 71 N",
            "city": "ALMA",
            "state": "AR",
            "postal_code": "729215114",
            "telephone_number": "479-632-6688",
            "fax_number": "479-632-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 HIGHWAY 71 N",
            "city": "ALMA",
            "state": "AR",
            "postal_code": "729215114",
            "telephone_number": "479-632-6688",
            "fax_number": "479-632-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBS",
        "first_name": "KRISTINA",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "A005509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231606758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, AR

Sources for this page

Verify at the official NPI Registry.