Active NPI
Kristen M Maefsky, ARNP
- Family Nurse Practitioner
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60208055
- Practice address
- 316 W Boone Ave
Ste 757
Spokane, WA 99201-2354 - Phone
- (509) 868-0876
- Fax
- (509) 385-0670
- NPI assigned
- Jan 18, 2011
- Last updated
- Nov 12, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP60208055 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP60208055 | WA | Primary |
Addresses
Primary practice location
316 W Boone Ave
Ste 757
Spokane, WA 99201-2354
Mailing address
316 W Boone Ave
Ste 757
Spokane, WA 99201-2354
Phone (509) 868-0876
Other practice location 1
817 S Perry St Unit B
Spokane, WA 99202-3443
Phone (509) 444-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F1210181 | Other | WA | AANP FAMILY NURSE PRACTIONER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14820 E 4TH Ave
Spokane Valley, WA 99216-2165
Phone (509) 922-1644
2903 E 25TH Ave
Spokane, WA 99223-4992
Phone (509) 536-6650
302 E Wedgewood Ave
Spokane, WA 99208-5393
Phone (509) 483-7136
5208 W Baywood CT
Spokane, WA 99208-9424
Phone (509) 468-0944
920 12TH Ave SE
Puyallup, WA 98372-4920
Phone (253) 841-3422
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60208055 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wa Pacs 2 PC | Current | Accepting new patients | |
| Community Health Association of Spokane | Current | Accepting new patients | |
| Washington Pac Services PC | Current | Accepting new patients | |
| Community Health Association of Spokane | Current | Accepting new patients | |
| CS Pacs 3 Northwest, LLC | Current | Accepting new patients | |
| Community Health Association of Spokane | Current | Accepting new patients | |
| Providence Health & Services - Washington | Past | Accepting new patients | |
| Inpatient Consultants of California, Inc | Nurse Practitioner | Past | Accepting new patients |
Locations
21008 76th Ave W
Edmonds, WA 98026
Phone (425) 778-0107
135 S 336th St
Federal Way, WA 98003
Phone (253) 835-7433
920 12th Ave SE
Puyallup, WA 98372
Phone (253) 841-3422
1001 W 2nd Ave
Spokane, WA 99201
Phone (509) 835-1205
3600 E Hartson Ave
Spokane, WA 99202
Phone (509) 468-7000
3919 N Maple St
Spokane, WA 99205
Phone (509) 326-6900
5633 N Lidgerwood St
Spokane, WA 99208
Phone (509) 482-0111
7411 N Nevada St
Spokane, WA 99208
Phone (509) 489-2273
817 S Perry St
Unit B
Spokane, WA 99202
Phone (509) 434-0390
14820 E 4th Ave
Spokane Valley, WA 99216
Phone (509) 922-1644
Organizations & group practices 10
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.
-
- Hospitalist Physician
- Tacoma, WA
- NPI 1144706532
-
- Hospitalist Physician
- Spokane, WA
- NPI 1336678168
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1326005851
-
- Hospitalist Physician
- Puyallup, WA
- NPI 1811752066
-
- Family Medicine Physician
- Spokane, WA
- NPI 1952093742
-
dba IPC of Washington
- Hospitalist Physician
- Berkeley, CA
- NPI 1487930541
WA
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1679363592
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1902017817
-
dba Providence Holy Family Hospital
- General Acute Care Hospital
- Spokane, WA
- NPI 1083866453
-
- Internal Medicine Physician
- Berkeley, CA
- NPI 1346570801
Nurse Practitioner
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CenterWell Home Health
- Home Health Agency
- Spokane, WA
- NPI 1184653461
-
dba Eden Home Health
- Home Health Agency
- Spokane Valley, WA
- NPI 1588212641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1528363835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 W BOONE AVE",
"address_2": "STE 757",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992012354",
"telephone_number": "509-868-0876",
"fax_number": "509-385-0670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 W BOONE AVE",
"address_2": "STE 757",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992012354",
"telephone_number": "509-868-0876",
"fax_number": "509-385-0670"
}
],
"practiceLocations": [
{
"address_1": "817 S Perry St Unit B",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992023443",
"country_code": "US",
"telephone_number": "509-444-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAEFSKY",
"first_name": "KRISTEN",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-18",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60208055",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60208055",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANP FAMILY NURSE PRACTIONER NUMBER",
"identifier": "F1210181",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.