Individual provider Active NPI

Kristen Lyn Robinson, PMHNP, FNP

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1447545645
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5019414 Issued in NC
Practice address
202 E Earll Dr
Suite 200
Phoenix, AZ 85012-2634
Phone
(602) 808-2800
Fax
(602) 808-2799
NPI assigned
Jun 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AP4084 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP8992 AZ
Nurse Practitioner 363L00000X 5019414 NC Primary

Addresses

Primary practice location

202 E Earll Dr
Suite 200
Phoenix, AZ 85012-2634

Mailing address

2754 S Heritage Dr
Gilbert, AZ 85295-7165
Phone (704) 840-5623

Other identifiers 1

IdentifierTypeStateIssuer
624597MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110809000606 AZ Practitioner - Nurse Practitioner 8527237569 Reassigns benefits to 6 organizations
I20240313002657 NC Practitioner - Nurse Practitioner 8527237569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recovery Innovations IncGroup PAC ID 1456500628, shared by 8 NPIs, 54 clinicians
District Medical Group IncGroup PAC ID 7315086691, 454 clinicians

Practice addresses (Care Compare)

11361 N 99TH Ave
Suite 402
Peoria, AZ 85345-5459

1724 Roxie Ave
Fayetteville, NC 28304-1623
Phone (910) 778-5900

5102 W Campbell Ave
Phoenix, AZ 85031-1703
Phone (602) 344-5011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP8992AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Innovations, Inc Current Accepting new patients
Mind 247 Practice LLC CurrentSince Jul 2, 2023 Accepting new patients
District Medical Group, Inc CurrentSince Mar 1, 2021 Accepting new patients
Mind 247 Practice LLC Current Accepting new patients
Heritage Technologies, LLC Family Medicine CurrentSince Jun 15, 2011 Accepting new patients
Recovery Innovations, Inc CurrentSince Mar 1, 2025 Accepting new patients
Recovery Innovations, Inc CurrentSince Apr 28, 2024 Accepting new patients
Southwest Behavioral Health Services Inc Current Accepting new patients
Recovery Innovations, Inc CurrentSince Apr 28, 2024 Accepting new patients
Recovery Innovations, Inc Current Accepting new patients
District Medical Group, Inc CurrentSince Mar 1, 2021 Accepting new patients
Southwest Behavioral Health CurrentSince Dec 6, 2019 Accepting new patients
Southwest Behavioral Health Services, Inc. CurrentSince Dec 6, 2019 Accepting new patients
Nextcare Arizona LLC CurrentSince Jun 30, 2012 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Mind 247 Practice LLC CurrentSince Jul 2, 2023 Accepting new patients
District Medical Group, Inc Family Medicine Past Accepting new patients
Maricopa County Special Health Care District Past Accepting new patients
RHG of Arizona, PC Family Medicine PastSince Dec 23, 2024 Accepting new patients

Locations (25 of 27)

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

5656 S Power Rd
Ste 126
Gilbert, AZ 85295

570 W Brown Rd
Mesa, AZ 85201
Phone (480) 344-2000

1855 N Stapley Dr
Mesa, AZ 85203
Phone (480) 545-0031

1138 S Higley Rd
Mesa, AZ 85206
Phone (480) 325-3876

1220 S Higley Rd
Ste 201
Mesa, AZ 85206
Phone (480) 529-7125

404 W Aero Dr
Payson, AZ 85541
Phone (928) 238-3024

11361 N 99th Ave
Ste 107
Peoria, AZ 85345
Phone (602) 636-4605

1424 S 7th Ave
Bldg B
Phoenix, AZ 85007
Phone (602) 257-8970

10046 N Metro Pkwy W
Ste 115
Phoenix, AZ 85051
Phone (602) 674-5515

2728 N 24th St
Phoenix, AZ 85008
Phone (480) 482-7020

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

10046 N Metro Pkwy W
Phoenix, AZ 85051
Phone (602) 894-2880

5102 W Campbell Ave
Phoenix, AZ 85031
Phone (623) 848-5000

3450 N 3rd St
Phoenix, AZ 85012
Phone (602) 257-9339

1424 S 7th Ave
Bldg A
Phoenix, AZ 85007
Phone (602) 257-1558

2701 N 16th St
Ste 316
Phoenix, AZ 85006

2042 N 35th Ave
Phoenix, AZ 85009
Phone (602) 233-0115

10220 N 31st Ave
Ste 120
Phoenix, AZ 85051

2728 N 24th St
Ste 2
Phoenix, AZ 85008
Phone (602) 900-1793

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

7600 E Florentine Rd
Ste 201
Prescott Valley, AZ 86314
Phone (928) 775-7088

1465 N Scottsdale Rd
Ste 400
Scottsdale, AZ 85257

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666

Interoperability endpoints

  • Direct secure messaging: krobinson1334460@direct.novanthealth.org
  • Direct secure messaging: krobinson226055@direct.valleywisehealth.org

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1447545645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2754 S HERITAGE DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852957165",
            "telephone_number": "704-840-5623",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E EARLL DR",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122634",
            "telephone_number": "602-808-2800",
            "fax_number": "602-808-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "KRISTEN",
        "middle_name": "LYN",
        "credential": "PMHNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "AP4084",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP8992",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5019414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "624597",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.