Individual provider Active NPI

Kristen M Maefsky, ARNP

  • Family Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1528363835
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60208055 Issued in WA
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
F1210181OtherWAAANP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110406000210 WA Practitioner - Nurse Practitioner 7911181524 Reassigns benefits to 6 organizations

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
Washington Pac Services PCGroup PAC ID 4082986070, 43 clinicians
Wa Pacs 2 PCGroup PAC ID 6901156538, 26 clinicians

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

LicenseStateTypeSpecialty
AP60208055WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wa Pacs 2 PC CurrentSince Dec 1, 2020 Accepting new patients
Community Health Association of Spokane Current Accepting new patients
Washington Pac Services PC CurrentSince Oct 1, 2017 Accepting new patients
Community Health Association of Spokane CurrentSince Nov 17, 2020 Accepting new patients
CS Pacs 3 Northwest, LLC CurrentSince Sep 28, 2024 Accepting new patients
Community Health Association of Spokane CurrentSince Nov 17, 2020 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.

Hospital & facility affiliations 2

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

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

Verify at the official NPI Registry.