Kristina M Dean, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

219144 Issued in AR

Practice address

2707 Market Trce
Fort Smith, AR 72908-8694

Phone

(479) 434-3600

Fax

(833) 992-0797

NPI assigned

Feb 17, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TBD Health Enterprises of Arkansas PLLCGroup PAC ID 1951845163, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• TBD Health Enterprises of Arkansas PLLC

  • Interventional Pain Medicine Physician
  • Fort Smith, AR
  • NPI 1760242440
  Medicare reassignment Care Compare group NPD
• Brett Whatcott DO PLLC

  • Interventional Pain Medicine Physician
  • Fort Smith, AR
  • NPI 1003470501
  NPD
• TBD Health Enterprises of Arkansas PLLC

  • Interventional Pain Medicine Physician
  • Springdale, AR
  • NPI 1376497438
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Hospital Fort Smith

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1568433480
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1285389262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 MARKET TRCE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729088694",
            "telephone_number": "479-434-3600",
            "fax_number": "833-992-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 MARKET TRCE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729088694",
            "telephone_number": "479-434-3600",
            "fax_number": "833-992-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "KRISTINA",
        "middle_name": "M",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0131477",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "206812",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "219144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristina.dean.1@22374.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Brett Whatcott DO PLLC",
            "address_1": "2707 Market Trce",
            "city": "Fort Smith",
            "state": "AR",
            "country_code": "US",
            "postal_code": "729088694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Federico Carlos De Miranda, M.D.
• Thomas Benjamin De Miranda, M.D.
• Gena Marie Deakins
• Claudia Dean
• Desiree Melissa Dean, COTA/L
• Lakin Dean, LPC
• Ila Maureen Debose, LCSW
• Randall Scott Decker, PTA
• Amy Declerk, APRN
• Marla Decoster, CSW

• Family Nurse Practitioner in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.

Verify at the official NPI Registry.