Individual provider Active NPI

Kristine Mae Pasco

  • Family Nurse Practitioner
  • Fpo, CA
National Provider Identifier
1346805355
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95021360 Issued in CA
Practice address
US Naval Hospital, Okinawa
Okinawa
Fpo, CA 96362
Phone
(098) 971-9355
NPI assigned
May 6, 2019
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, Irvine, California College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guam Healthcare Development Incorporated 211 clinicians

Practice addresses (Care Compare)

133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500

Hospital & facility affiliations

  • Guam Regional Medical City Hospital, Dededo, GU, CCN 650003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU
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
I20250310000702 GU Practitioner - Nurse Practitioner 3375064124 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95021360CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guam Healthcare Development Incorporated CurrentSince Dec 14, 2024 Accepting new patients
MK Lotus Medical LLC CurrentSince Jun 5, 2025 Accepting new patients
MK Lotus Medical Group LLC Nurse Practitioner Current Accepting new patients

Locations

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X
Nurse Practitioner 363L00000X APRN-2024-005 GU
Family Nurse Practitioner 363LF0000X APRN-2024-005 GU
Family Nurse Practitioner 363LF0000X 95021360 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

US Naval Hospital, Okinawa
Okinawa
Fpo, CA 96362

Mailing address

PSC 482 Box 1600
Fpo, AP 96362-0017
Phone (315) 622-1134

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
Y2372490OtherCADRIVER'S LICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 28, 2024.

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1346805355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "PSC 482 BOX 1600",
            "city": "FPO",
            "state": "AP",
            "postal_code": "963620017",
            "telephone_number": "315-622-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US NAVAL HOSPITAL, OKINAWA",
            "address_2": "OKINAWA",
            "city": "FPO",
            "state": "CA",
            "postal_code": "96362",
            "telephone_number": "098-971-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCO",
        "first_name": "KRISTINE",
        "middle_name": "MAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GU",
            "license": "APRN-2024-005",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GU",
            "license": "APRN-2024-005",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "Y2372490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fpo, CA

Sources for this page

Verify at the official NPI Registry.