Kristina A McKinzie, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

314933 Issued in AZ

Practice address

10593 E American Pride Dr
San Tan Valley, AZ 85143-7978

Phone

(619) 201-0835

NPI assigned

Sep 19, 2022

Last updated

May 5, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AHHIDD

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.

• Revive Wellness and Beauty, LLC

  • Family Nurse Practitioner
  • San Tan Valley, AZ
  • NPI 1265230148
  Medicare reassignment NPD Authorized official
• MD Medical Group, LLC

  dba MD Medical Group

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1508609017
  Medicare reassignment NPD
• Mobileonedocs, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Scottsdale, AZ
  • NPI 1629424379
  Medicare reassignment NPD
• Mulberry Medical LLC

  • Family Medicine Physician
  • Tempe, AZ
  • NPI 1831980986
  Medicare reassignment NPD
• Mobileonedocs, LLC

  • Family Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1740858950
  NPD
• Plastic and Peripheral Nerve Surgery LLC

  • Plastic and Reconstructive Surgery Physician
  • Sun Lakes, AZ
  • NPI 1760044325
  NPD (past)

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1306569090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10593 E AMERICAN PRIDE DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851437978",
            "telephone_number": "619-201-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10593 E AMERICAN PRIDE DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851437978",
            "telephone_number": "619-201-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINZIE",
        "first_name": "KRISTINA",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "314933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercedes R McCombs
• Andra Sue McConnell, RN
• Melanie Kay McDaniel
• Crystal Lynn McElroy, MSN/FNP
• Emily McFadden
• Cassandra J. McLaughlin, PA-C
• Meaningful Life Behavioral Health
• Medi-Ride LLC
• Alexa A Medina, HIS
• Anithsia Mejia

• Family Nurse Practitioner in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.