Individual provider Active NPI

Kristi Nix, APRN

  • Family Nurse Practitioner
  • Hazard, KY
National Provider Identifier
1265151732
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3017625 Issued in KY
Practice address
1908 N Main St
Hazard, KY 41701-2505
Phone
(606) 439-2662
NPI assigned
Aug 26, 2022
Last updated
Aug 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3017625 KY Primary

Addresses

Primary practice location

1908 N Main St
Hazard, KY 41701-2505

Mailing address

1908 N Main St
Hazard, KY 41701-2505
Phone (606) 439-2662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20220906001728 KY Practitioner - Nurse Practitioner 7911381298 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Mountain Health Alliance, Inc.Group PAC ID 8123112687, 20 clinicians

Practice addresses (Care Compare)

210 Black Gold Blvd
Suite 106
Hazard, KY 41701-2620
Phone (606) 436-0711

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3017625KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quantum Healthcare Associates of Cumberland, Inc CurrentSince Sep 5, 2022 Accepting new patients
Kentucky Mountain Health Alliance, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Mountain After Hours Clinic PSC CurrentSince Aug 1, 2022 Accepting new patients
Jackson Physician Corp Past Accepting new patients

Locations

103 Kingdom Come Dr
Cumberland, KY 40823
Phone (606) 589-5514

1908 N Main St
Hazard, KY 41701
Phone (606) 439-5057

1908 N Main St
Ste 120
Hazard, KY 41701
Phone 60643926622038

210 Black Gold Blvd
Ste 106
Hazard, KY 41701
Phone (606) 436-0711

279 E Main St
Hazard, KY 41701
Phone (606) 487-0107

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/AIEDDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GIIEDD
  • Direct secure messaging: kristi.nix.p1@direct.kymha.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1265151732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 N MAIN ST",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417012505",
            "telephone_number": "606-439-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 N MAIN ST",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417012505",
            "telephone_number": "606-439-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIX",
        "first_name": "KRISTI",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

Verify at the official NPI Registry.