Individual provider Active NPI

Kristina Paley, M.D.

  • MOHS-Micrographic Surgery Physician
  • Cottonwood, AZ
National Provider Identifier
1174729966
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
48678 Issued in AZ
Practice address
297 S Willard St
Cottonwood, AZ 86326
Phone
(928) 639-9596
Fax
(928) 639-0189
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 48678 AZ Primary
Dermatology Physician 207N00000X MD433585 PA

Addresses

Primary practice location

297 S Willard St
Cottonwood, AZ 86326

Mailing address

1490 N Turquoise Dr
Flagstaff, AZ 86001-1383
Phone (928) 774-5074

Other practice location 1

1490 N Turquoise Dr
Flagstaff, AZ 86001-1383
Phone (928) 774-5074

Other practice location 2

297 S Willard St
Cottonwood, AZ 86326
Phone (928) 639-9596

Other identifiers 1

IdentifierTypeStateIssuer
PA2040711OtherPAHIGHMARK BCBS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140625002690 AZ Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 1850462979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
JS Weill Medical College, Cornell University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

297 S Willard St
Cottonwood, AZ 86326-4125
Phone (928) 774-5074

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.84 of 100Reported as individual
Quality
61.67
Promoting interoperability
100
Improvement activities
40
Cost
84.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision234
Removal of skin lesions916
Removal of skin cancer321
Removal or shaving of skin growth99
Skin biopsy539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Arizona Dermatology Center PC Dermatology Current Accepting new patients
Northern Arizona Dermatology Center, PC Past Accepting new patients
Dermatology & Cosmetic Surgery Center PC PastSince Jun 1, 2022 Accepting new patients

Locations

450 S Willard St
Ste 115
Cottonwood, AZ 86326
Phone (928) 634-3025

1490 N Turquoise Dr
Flagstaff, AZ 86001
Phone (928) 744-5074

95 Soldiers Pass Rd
Ste C2
Sedona, AZ 86336
Phone (928) 282-5865

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.

Hospital & facility affiliations 2

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1174729966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 N TURQUOISE DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011383",
            "telephone_number": "928-774-5074",
            "fax_number": "928-779-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 S WILLARD ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "86326",
            "telephone_number": "928-639-9596",
            "fax_number": "928-639-0189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1490 N Turquoise Dr",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860011383",
            "country_code": "US",
            "telephone_number": "928-774-5074",
            "fax_number": "928-779-0884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "297 S Willard St",
            "address_purpose": "LOCATION",
            "city": "Cottonwood",
            "state": "AZ",
            "postal_code": "86326",
            "country_code": "US",
            "telephone_number": "928-639-9596",
            "fax_number": "928-639-0189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALEY",
        "first_name": "KRISTINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AZ",
            "license": "48678",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD433585",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "PA2040711",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

Verify at the official NPI Registry.