MK Lotus Medical LLC – Multi-Specialty Clinic/Center

Key facts

NPI: 1376430645
Entity type: Organization (NPI type 2)
Primary specialty: Multi-Specialty Clinic/Center 261QM1300X
Legal business name: MK LOTUS MEDICAL LLC
Practice address: 182 Flores Rosa Loop
Barrigada, GU 96913-1247
Phone: (323) 904-2408
NPI assigned: Jun 19, 2025
Organization subpart: No

Authorized official

Name: Kristine Mae Pasco, DNP, MPH, APRN, FNP-
Title: Owner
Phone: (671) 688-6538

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Kristine Mae Pasco Family Nurse Practitioner · Fpo, CA · NPI 1346805355

Medicare reassignment NPD GU

Medicare participation

Medicare fee-for-service enrollment: Enrolled in GU

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20250806001928	GU	Part B Supplier - Clinic/Group Practice	7911415252	Receives reassigned benefits from 1 practitioner Practice locations: Barrigada, GU

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Multi-Specialty Clinic/Center	261QM1300X			Yes

Addresses

Primary practice location

182 Flores Rosa Loop
Barrigada, GU 96913-1247

Mailing address

182 Flores Rosa Loop
Barrigada, GU 96913-1247
Phone (671) 688-6538

Other providers in Barrigada, GU

All providers in Barrigada, GU · Multi-Specialty Clinic/Center in Guam

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.