Individual provider Active NPI

Kristen Nichole Ready, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1164095808
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2024084567 Issued in AZ
Practice address
15411 W Waddell Rd, Ste 102
PMB 1204
Surprise, AZ 85379
Phone
(623) 250-2118
NPI assigned
Jul 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 257852 AZ
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 2024084567 AZ Primary

Addresses

Primary practice location

15411 W Waddell Rd, Ste 102
PMB 1204
Surprise, AZ 85379

Mailing address

15411 W Waddell Rd, Ste 102
PMB 1204
Surprise, AZ 85379
Phone (623) 250-2118

Other names 1

  • Kristen Nichole Major Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WA, OR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210921003029 AZ Practitioner - Nurse Practitioner 0446657241 Reassigns benefits to 4 organizations
I20230609001316 WA Practitioner - Nurse Practitioner 0446657241 Reassigns benefits to 1 organization
I20231009002352 OR Practitioner - Nurse Practitioner 0446657241 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlas Medical Aco LLCGroup PAC ID 1456885227, 50 clinicians
Century Care IncGroup PAC ID 3971665605, 51 clinicians

Practice addresses (Care Compare)

7227 E Baseline Rd
Suite 126
Mesa, AZ 85209-5006
Phone (480) 868-9650

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024084567AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Leading Healthcare Specialist PLLC Single Specialty CurrentSince Aug 1, 2024 Accepting new patients
Century Care Inc Single Specialty CurrentSince Feb 9, 2026 Accepting new patients
Calyx Mental Health Current Accepting new patients
Villagehealth DM LLC Single Specialty CurrentSince May 22, 2023 Accepting new patients
Icco LLC CurrentSince Feb 12, 2024 Accepting new patients
Leading Healthcare Clinic of Goodyear LLC Single Specialty CurrentSince Aug 1, 2024 Accepting new patients
Icco, LLC Single Specialty Current Accepting new patients
Atlas Medical Aco LLC Single Specialty CurrentSince Feb 9, 2026 Accepting new patients
Leading Healthcare, LLC Single Specialty Past Accepting new patients

Locations

13555 W McDowell Rd
Ste 205
Goodyear, AZ 85395
Phone (623) 535-0740

8035 E Brown Rd
Mesa, AZ 85207
Phone (480) 686-8540

7227 E Baseline Rd
Ste 126
Mesa, AZ 85209
Phone (907) 215-4846

13203 N 103rd Ave
Ste I5
Sun City, AZ 85351

2000 16th St
Denver, CO 80202
Phone (253) 733-4500

598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473

3675 Pacific Ave
#101
Forest Grove, OR 97116
Phone (971) 762-4611

1890 NW 6th St
Grants Pass, OR 97526
Phone (541) 507-0684

3737 Shasta Way
Ste A
Klamath Falls, OR 97603
Phone (541) 883-2337

3400 Cooperative Way
Lebanon, OR 97355
Phone (541) 333-6605

6902 SE Lake Rd
Ste 100
Portland, OR 97267
Phone (503) 774-3350

1740 NW Goetz St
Roseburg, OR 97471
Phone (541) 672-4789

32275 32nd Ave S
Federal Way, WA 98001
Phone (206) 420-5325

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/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.

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1164095808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15411 W WADDELL RD, STE 102",
            "address_2": "PMB 1204",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85379",
            "telephone_number": "623-250-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15411 W WADDELL RD, STE 102",
            "address_2": "PMB 1204",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85379",
            "telephone_number": "623-250-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "READY",
        "first_name": "KRISTEN",
        "middle_name": "NICHOLE",
        "credential": "FNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "257852",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "2024084567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "MAJOR",
            "middle_name": "NICHOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.