Active NPI
Kristina Paley, M.D.
- MOHS-Micrographic Surgery Physician
- Cottonwood, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- 48678
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA2040711 | Other | PA | HIGHMARK 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- 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 100
- Quality
- 61.67
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 84.46
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 234 |
| Removal of skin lesions | 916 |
| Removal of skin cancer | 321 |
| Removal or shaving of skin growth | 99 |
| Skin biopsy | 539 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New 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 | Past | 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.
-
- Dermatology Physician
- Flagstaff, AZ
- NPI 1962558569
-
- Procedural Dermatology Physician
- Page, AZ
- NPI 1003112327
-
- Ambulatory Surgical Clinic/Center
- Pittsburgh, PA
- NPI 1144213547
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
-
dba Northern Arizona Healthcare - Sedona
- General Acute Care Hospital
- Sedona, AZ
- NPI 1538608716
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.