Individual provider Active NPI

Kristina Gates

  • Psychiatric/Mental Health Nurse Practitioner
  • Cedar Rapids, IA
National Provider Identifier
1174137061
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G160805 Issued in IA
Practice address
4403 1St Ave SE Ste 220
Cedar Rapids, IA 52402-3221
Phone
(319) 900-4525
Fax
(319) 303-7070
NPI assigned
Sep 8, 2020
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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 G160805 IA Primary

Addresses

Primary practice location

4403 1St Ave SE Ste 220
Cedar Rapids, IA 52402-3221

Mailing address

4403 1St Ave SE Ste 220
Cedar Rapids, IA 52402-3221
Phone (319) 900-4525

Other identifiers 1

IdentifierTypeStateIssuer
1710503982MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20201106002392 IA Practitioner - Nurse Practitioner 0547670275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunrise Promise Therapy LLCGroup PAC ID 4587143409, 3 clinicians

Practice addresses (Care Compare)

260 33Rd Ave SW
Suite X
Cedar Rapids, IA 52404-4646
Phone (319) 560-5523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
118238IAMDEmergency Registered Nurse
G160805IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Purple Clover Counseling LLC CurrentSince Jun 3, 2025 Accepting new patients
Sunrise Promise Therapy LLC CurrentSince Feb 24, 2026 Accepting new patients

Locations

260 33rd Ave SW
Ste S
Cedar Rapids, IA 52404
Phone (319) 560-5523

260 33rd Ave SW
Ste X
Cedar Rapids, IA 52404
Phone (319) 382-0918

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.

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1174137061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 1ST AVE SE STE 220",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524023221",
            "telephone_number": "319-900-4525",
            "fax_number": "319-303-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 1ST AVE SE STE 220",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524023221",
            "telephone_number": "319-900-4525",
            "fax_number": "319-303-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "KRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G160805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710503982",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.