Individual provider Active NPI

Kristy Grupe, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1104208354
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP7892 Issued in AZ
Practice address
6677 W Thunderbird Rd Ste I164
Glendale, AZ 85306-3762
Phone
(623) 878-2100
NPI assigned
Jun 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP7892 AZ Primary

Addresses

Primary practice location

6677 W Thunderbird Rd Ste I164
Glendale, AZ 85306-3762

Mailing address

3009 W Villa Rita Dr
Phoenix, AZ 85053-1766
Phone (602) 814-9550

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
I20151007002722 AZ Practitioner - Nurse Practitioner 3476861626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Satinder S Purewal MD LLCGroup PAC ID 6507814191, 37 clinicians

Practice addresses (Care Compare)

6677 W Thunderbird Rd
I164
Glendale, AZ 85306-3762

6677 W Thunderbird Rd BLDG
Suite I164
Glendale, AZ 85306-3762
Phone (623) 878-2100

6677 W Thunderbird Rd BLDG I
Suite 164
Glendale, AZ 85306-3762

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
65.06
Promoting interoperability
98
Improvement activities
40
Cost
78.33

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Satinder S. Purewal, M.D. LLC PastSince Feb 18, 2024 Accepting new patients
Satinder S. Purewal, M.D. LLC PastSince Feb 18, 2024 Accepting new patients

Organizations & group practices 3

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": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1104208354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 W VILLA RITA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850531766",
            "telephone_number": "602-814-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD STE I164",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063762",
            "telephone_number": "623-878-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUPE",
        "first_name": "KRISTY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP7892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.