Kristin Rene Brown, NURSE PRACTITIONER
Individual provider Active NPI Nurse Practitioner · Bakersfield, CA
NPI 1194865535 · NPPES record last updated Apr 7, 2023
Key facts
- NPI
- 1194865535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- NP11308 (CA)
- Practice address
- 9500 Stockdale Hwy Ste 203
Bakersfield, CA 93311-3621 - Phone
- (661) 587-8110
- Fax
- (661) 587-8220
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Dignity Health Medical Foundation
Practice addresses (Care Compare)
9500 Stockdale Hwy
Bakersfield, CA 93311-3621
Phone (661) 587-8110
Hospital & facility affiliations
- Around the Clock Home Care
- Adventist Health Bakersfield
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070816000358 | CA | Practitioner - Nurse Practitioner | 3274625595 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11308 | CA | MD | Occupational Therapist |
| NP11308 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health Medical Foundation | Current |
Accepting new patients | |
| Dignity Health Medical Foundation | Current |
Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Tipton Medical Clinic | Past | Accepting new patients | |
| Dignity Health Medical Foundation | Past | Accepting new patients | |
| Pixley Medical Clinic | Past | Accepting new patients | |
| Bakersfield Memorial Hospital | Past | Accepting new patients |
Locations
9500 Stockdale Hwy
Ste 203
Bakersfield, CA 93311
Phone (661) 587-8110
3838 San Dimas St
Ste B201
Bakersfield, CA 93301
Phone (661) 321-3161
3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP11308 | CA | Yes |
Addresses
Primary practice location
9500 Stockdale Hwy Ste 203
Bakersfield, CA 93311-3621
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
Other providers in Bakersfield, CA
- James Francis Brown
- Janice A. Brown
- Kandie Brown
- Katie Brown
- Kodie Brown
- Laura K Brown
- Margie Lillian Brown
- Matthew Brown
- Maurice Lashawn Brown
- Melissa Lynn Brown
All providers in Bakersfield, CA · Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.