Active NPI
Kristine Mae Pasco
- Family Nurse Practitioner
- Fpo, CA
National Provider Identifier
1346805355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95021360
- 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.
-
- General Acute Care Hospital
- Dededo, GU
- NPI 1194159525
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dededo, GU
- NPI 1194159525
Hospital
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
Practice addresses (Care Compare)
133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500
Hospital & facility affiliations
- Guam Regional Medical City
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 95021360 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guam Healthcare Development Incorporated | Current | Accepting new patients | |
| MK Lotus Medical LLC | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y2372490 | Other | CA | DRIVER'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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.