NPIMap

Individual provider Active NPI

Krystan M Vernetti, FNP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1205619830
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
296396 Issued in AZ
Practice address
5555 E 5TH St Ste 101
Tucson, AZ 85711-2415
Phone
(520) 886-4181
Fax
(520) 721-7536
NPI assigned
Aug 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 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 C-APN.0105381-C-NP CO
Family Nurse Practitioner 363LF0000X 296396 AZ Primary

Addresses

Primary practice location

5555 E 5TH St Ste 101
Tucson, AZ 85711-2415

Mailing address

4801 E Broadway Blvd Ste 251
Tucson, AZ 85711-3633
Phone (520) 327-0460

Other names 1

  • Krystan M McDaniel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240809002112 AZ Practitioner - Nurse Practitioner 7719425628 Reassigns benefits to 1 organization
I20251217004818 CO Practitioner - Nurse Practitioner 7719425628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians
Arizona Community Physicians PCGroup PAC ID 4587560552, 162 clinicians

Practice addresses (Care Compare)

1338 Phay Ave
Canon City, CO 81212-2326
Phone (719) 285-2760

2055 W Hospital Dr
Tucson, AZ 85704-7892
Phone (520) 547-5725

41 State Hwy 67
Woodland Park, CO 80863-5008
Phone (719) 776-4780

5515 E 5TH St
Tucson, AZ 85711-2415
Phone (520) 298-1138

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
296396AZMDFamily Nurse Practitioner
C-APN.0105381-C-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Community Physician PC CurrentSince Aug 12, 2024 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Dec 9, 2025 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Dec 9, 2025 Accepting new patients
Arizona Community Physicians PC CurrentSince Aug 12, 2024 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

5555 E 5th St
Ste 101
Tucson, AZ 85711
Phone (520) 570-7884

5055 E Broadway Blvd
Ste A100
Tucson, AZ 85711
Phone (520) 327-0460

2055 W Hospital Dr
Tucson, AZ 85704
Phone (520) 547-5725

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Interoperability endpoints

  • Direct secure messaging: kvernetti21272@azacp.direct-ci.com

Organizations & group practices 6

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 6

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": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1205619830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 E BROADWAY BLVD STE 251",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113633",
            "telephone_number": "520-327-0460",
            "fax_number": "520-795-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 E 5TH ST STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112415",
            "telephone_number": "520-886-4181",
            "fax_number": "520-721-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNETTI",
        "first_name": "KRYSTAN",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0105381-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "296396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTAN",
            "last_name": "MCDANIEL",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.