Active NPI
Kristie Nicole Carazo, FNP-C
- Family Nurse Practitioner
- Skowhegan, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95027152
- Practice address
- 62 Main St
Skowhegan, ME 04976-1146 - Phone
- (207) 858-4844
- Fax
- (207) 858-0348
- NPI assigned
- Apr 5, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 212197 | LA | |
| Family Nurse Practitioner | 363LF0000X | 95027152 | CA | Primary |
| Family Nurse Practitioner | 363LF0000X | CNP231523 | ME |
Addresses
Primary practice location
62 Main St
Skowhegan, ME 04976-1146
Mailing address
62 Main St
Skowhegan, ME 04976-1146
Phone (207) 858-4844
Other practice location 1
46 Fairview Ave Ste 111
Skowhegan, ME 04976-1481
Phone (207) 474-3320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Health Centers of San Diego Inc
Practice addresses (Care Compare)
5160 Federal Blvd
San Diego, CA 92105-5429
Phone (619) 515-2454
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95027152 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers of San Diego Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Wellspace Health | Current | Accepting new patients | |
| Redington-Fairview General Hospital | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Redington-Fairview General Hospital | Current | Accepting new patients | |
| Wellspace Health | Current | Accepting new patients | |
| Wellspace Health | Current | Accepting new patients | |
| County of San Joaquin | Past | Accepting new patients |
Locations
777 12th St
Ste 250
Sacramento, CA 95814
Phone (916) 469-4690
3441 Marysville Blvd
Sacramento, CA 95838
Phone (916) 563-7200
1820 J St
Sacramento, CA 95811
Phone (916) 550-5481
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
46 Fairview Ave
Ste 111
Skowhegan, ME 04976
Phone (207) 474-3320
46 Fairview Ave
Skowhegan, ME 04976
Phone 2074745121293
62 Main St
Skowhegan, ME 04976
Phone (207) 858-4844
Organizations & group practices 9
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.
-
- Critical Access Hospital
- Skowhegan, ME
- NPI 1174549133
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1124112933
-
- Rural Health Clinic/Center
- Madison, ME
- NPI 1851423008
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1952729303
-
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1114682689
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1548789050
-
- Multi-Specialty Clinic/Center
- Manteca, CA
- NPI 1417407636
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Skowhegan, ME
- NPI 1174549133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763424000000",
"number": "1588293237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 MAIN ST",
"city": "SKOWHEGAN",
"state": "ME",
"postal_code": "049761146",
"telephone_number": "207-858-4844",
"fax_number": "207-858-0348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 MAIN ST",
"city": "SKOWHEGAN",
"state": "ME",
"postal_code": "049761146",
"telephone_number": "207-858-4844",
"fax_number": "207-858-0348"
}
],
"practiceLocations": [
{
"address_1": "46 Fairview Ave Ste 111",
"address_purpose": "LOCATION",
"city": "Skowhegan",
"state": "ME",
"postal_code": "049761481",
"country_code": "US",
"telephone_number": "207-474-3320",
"fax_number": "207-474-5067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARAZO",
"first_name": "KRISTIE",
"middle_name": "NICOLE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-05",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "212197",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95027152",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP231523",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skowhegan, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.