Individual provider Active NPI

Christine Kikue Gean, NP

  • Primary Care Nurse Practitioner
  • Prescott Valley, AZ
National Provider Identifier
1659024743
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
274602 Issued in AZ
Practice address
3001 N Main St Ste 1B
Prescott Valley, AZ 86314-1215
Phone
(928) 259-5506
NPI assigned
Jan 30, 2022
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 274602 AZ
Primary Care Nurse Practitioner 363LP2300X 274602 AZ Primary

Addresses

Primary practice location

3001 N Main St Ste 1B
Prescott Valley, AZ 86314-1215

Mailing address

3001 N Main St Ste 1B
Prescott Valley, AZ 86314-1215
Phone (928) 259-5506

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230130001946 AZ Practitioner - Nurse Practitioner 3274917349 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
274602AZMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Healthcare LLC Family CurrentSince Jan 16, 2025 Accepting new patients

Locations

3001 N Main St
Ste B
Prescott Valley, AZ 86314

3001 N Main St
Ste 1B
Prescott Vly, AZ 86314
Phone (928) 259-5506

Organizations & group practices 2

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": "1643500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1659024743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 N MAIN ST STE 1B",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141215",
            "telephone_number": "928-259-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 N MAIN ST STE 1B",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141215",
            "telephone_number": "928-259-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEAN",
        "first_name": "CHRISTINE",
        "middle_name": "KIKUE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-30",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "274602",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "274602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

Verify at the official NPI Registry.