Individual provider Active NPI

Kristine Abigael Malcomson, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1609457027
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
256758 Issued in AZ
Practice address
10000 N 31St Ave Ste C100-138
Phoenix, AZ 85051-1395
Phone
(602) 878-8868
NPI assigned
Apr 16, 2021
Last updated
Jan 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 256758 AZ Primary

Addresses

Primary practice location

10000 N 31St Ave Ste C100-138
Phoenix, AZ 85051-1395

Mailing address

22523 N 62ND Ave
Glendale, AZ 85310-4238
Phone (602) 568-9556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV2 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
I20210526001515 AZ Practitioner - Nurse Practitioner 7810396728 Reassigns benefits to 4 organizations
I20250819002176 NV Practitioner - Nurse Practitioner 7810396728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15262 N 75TH Ave
Suite 102
Peoria, AZ 85381-4763
Phone (602) 878-8868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
256758AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peace of Mind Consultants PLLC CurrentSince Jul 12, 2024 Accepting new patients
Total Medical Care, LLC CurrentSince Nov 24, 2024 Accepting new patients
Total Medical Care, LLC CurrentSince May 1, 2021 Accepting new patients
Psychiatric Solutions LLC CurrentSince Sep 1, 2024 Accepting new patients
Adobe Provider Group CurrentSince Mar 7, 2022 Accepting new patients
Adobe PH PC CurrentSince Aug 4, 2025 Accepting new patients
Adobe Care and Wellness LLC Past Accepting new patients

Locations

19801 N 59th Ave
Unit 10116
Glendale, AZ 85318

5048 W Northern Ave
Ste 106
Glendale, AZ 85301
Phone (623) 435-0190

1237 S Val Vista Dr
Ste 117118
Mesa, AZ 85204

15262 N 75th Ave
Ste 102
Peoria, AZ 85381
Phone (602) 878-8868

10000 N 31st Ave
Ste C100
Phoenix, AZ 85051
Phone (602) 466-3686

10000 N 31st Ave
Ste C100-138
Phoenix, AZ 85051
Phone (602) 878-8868

4435 E Chandler Blvd
Ste 200
Phoenix, AZ 85048
Phone (480) 930-2322

7500 N Dreamy Draw Dr
Ste 100
Phoenix, AZ 85020
Phone (520) 233-7111

7500 N Dreamy Draw Dr
Ste 100B
Phoenix, AZ 85020
Phone (520) 233-7111

7251 W Lake Mead Blvd
Ste 300
Las Vegas, NV 89128
Phone (702) 562-4096

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1609457027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22523 N 62ND AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853104238",
            "telephone_number": "602-568-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 N 31ST AVE STE C100-138",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850511395",
            "telephone_number": "602-878-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOMSON",
        "first_name": "KRISTINE ABIGAEL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-16",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "256758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.