Krushna Mantri

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2755 Silver Creek Rd Ste 217
Bullhead City, AZ 86442-8361

Phone

(928) 704-6070

Fax

(928) 704-4736

NPI assigned

May 20, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Urgent Care LLCGroup PAC ID 9830506062, 70 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: krushna.mantri.1@1575.direct.athenahealth.com
• Direct secure messaging: krushna.mantri.1@1576.direct.athenahealth.com
• Direct secure messaging: krushna.mantri.2@1575.direct.athenahealth.com
• Direct secure messaging: krushna.mantri.3@1575.direct.athenahealth.com

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.

• Northwest Urgent Care LLC

  • Urgent Care Clinic/Center
  • Tucson, AZ
  • NPI 1528683455
  Medicare reassignment Care Compare group
• Bullhead City Clinic Corp

  • Surgery Physician
  • Bullhead City, AZ
  • NPI 1962429878
  Medicare reassignment NPD
• Colorado River Primary Care, Inc

  dba Tri State Primary Care

  • Internal Medicine Physician
  • Fort Mohave, AZ
  • NPI 1669146536
  NPD (past)

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1598504615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-465-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 SILVER CREEK RD STE 217",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428361",
            "telephone_number": "928-704-6070",
            "fax_number": "928-704-4736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2744 Silver Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "864427913",
            "country_code": "US",
            "telephone_number": "928-704-7166",
            "fax_number": "928-704-7144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANTRI",
        "first_name": "KRUSHNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael T Lutz, COTA
• M.a.Nayer, M.D.,P.C. (Tri-State Neurological & Sleep Disorder Center)
• Gerald Mac Donald Jr.
• Javed Malik, M.D.
• Elliot Charles Maness, DO
• Shauna Lynn Marlowe, FNP-BC
• Laura E Martinez
• Maria Angela Milaor Matabang, M.D.
• Shellby Taylor Mayo, LPC
• Gerri McArdle

• Physician Assistant in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.

Verify at the official NPI Registry.