Individual provider Active NPI

Kristin Nicole Prey, ARNP

  • Family Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1285072264
Registry record updated Jan 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60367676 Issued in WA
Practice address
9106 W Rutter Pkwy
Spokane, WA 99208-9210
Phone
(509) 418-4248
Fax
(509) 418-0402
NPI assigned
Jun 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2024

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 AP60367676 WA Primary

Addresses

Primary practice location

9106 W Rutter Pkwy
Spokane, WA 99208-9210

Mailing address

5261 Carrollton Pike Ste a
Woodlawn, VA 24381-3034
Phone (360) 880-8193

Other names 1

  • Kristin Nicole Nooner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20130724000687 WA Practitioner - Nurse Practitioner 3577704196 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Pacwest Healthcare PLLCGroup PAC ID 5395199269, 12 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

9106 W Rutter Pkwy
Spokane, WA 99208-9210
Phone (276) 238-0911

Hospital & facility affiliations

  • Sunshine Home Health Care Home health agency, Spokane, WA, CCN 507119
  • Centerwell Home Health Home health agency, Spokane Valley, WA, CCN 507021
  • Manito Home Health Home health agency, Spokane, WA, CCN 507310
  • Centerwell Health Services Home health agency, Spokane, WA, CCN 507075
  • Providence at Home With Compassus Home Health, Inwa Home health agency, Spokane Valley, WA, CCN 507019
  • Hospice of Spokane Hospice, Spokane, WA, CCN 501503
  • Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054
  • Providence St Joseph Hospital Hospital, Chewelah, WA, CCN 501309
  • Rockwood South Hill Nursing home, Spokane, WA, CCN 505033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60367676WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of California, Inc. CurrentSince Jan 1, 2017 Accepting new patients
Pacwest Healthcare, PLLC CurrentSince Dec 18, 2023 Accepting new patients
Inpatient Consultants of California, Inc Nurse Practitioner CurrentSince Jan 1, 2017 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
Inpatient Consultants of California, Inc Nurse Practitioner Past Accepting new patients

Locations

7391 W Charleston Blvd
Ste 140
Las Vegas, NV 89117
Phone (702) 233-0684

5261 Carrollton Pike
Ste C
Woodlawn, VA 24381
Phone (276) 238-0911

1919 112th St SW
Everett, WA 98204
Phone (425) 249-0024

80 SW 2nd St
Renton, WA 98057
Phone (425) 226-4510

5633 N Lidgerwood St
Spokane, WA 99208
Phone (509) 482-0111

7411 N Nevada St
Spokane, WA 99208
Phone (509) 489-2273

14820 E 4th Ave
Spokane Valley, WA 99216
Phone (509) 922-1644

Interoperability endpoints

  • Direct secure messaging: kristin.prey.1@30370.direct.athenahealth.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 9

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": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705795200000",
    "number": "1285072264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5261 CARROLLTON PIKE STE A",
            "city": "WOODLAWN",
            "state": "VA",
            "postal_code": "243813034",
            "telephone_number": "360-880-8193",
            "fax_number": "509-418-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9106 W RUTTER PKWY",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992089210",
            "telephone_number": "509-418-4248",
            "fax_number": "509-418-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREY",
        "first_name": "KRISTIN",
        "middle_name": "NICOLE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2024-01-21",
        "certification_date": "2024-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60367676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "NOONER",
            "middle_name": "NICOLE",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.