Individual provider Active NPI

Kristie Nicole Carazo, FNP-C

  • Family Nurse Practitioner
  • Skowhegan, ME
National Provider Identifier
1588293237
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95027152 Issued in CA
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

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, ME2 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
I20231016003219 CA Practitioner - Nurse Practitioner 2466883236 Reassigns benefits to 2 organizations
I20240808003578 ME Practitioner - Nurse Practitioner 2466883236 Reassigns benefits to 2 organizations

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 IncGroup PAC ID 3476446378, shared by 46 NPIs, 299 clinicians

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

LicenseStateTypeSpecialty
95027152CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego Inc CurrentSince Aug 4, 2025 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Aug 4, 2025 Accepting new patients
Wellspace Health CurrentSince Oct 20, 2023 Accepting new patients
Redington-Fairview General Hospital CurrentSince Aug 5, 2024 Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Redington-Fairview General Hospital CurrentSince Aug 5, 2024 Accepting new patients
Wellspace Health Current Accepting new patients
Wellspace Health CurrentSince Oct 20, 2023 Accepting new patients
County of San Joaquin PastSince Mar 1, 2024 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.