Individual provider Active NPI

Kristen Nicole Sharma, M.S., PA-C

  • Physician Assistant
  • Mesa, AZ
National Provider Identifier
1659775591
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5897 Issued in AZ
Practice address
3048 E Baseline Rd
Suite 120
Mesa, AZ 85204
Phone
(480) 505-3276
NPI assigned
Oct 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5897 AZ Primary

Addresses

Primary practice location

3048 E Baseline Rd
Suite 120
Mesa, AZ 85204

Mailing address

4550 E Bell Rd Ste 170
Phoenix, AZ 85032-9385
Phone (480) 443-8400

Other names 1

  • Ms. Kristen Nicole Gacka Former name

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
I20160122001106 AZ Practitioner - Physician Assistant 0345543492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Arthritis and Rheumatology Associates P CGroup PAC ID 8123912516, 63 clinicians

Practice addresses (Care Compare)

2152 S Vineyard
Suite 129
Mesa, AZ 85210-6882
Phone (440) 443-8400

4550 E Bell Rd
Phoenix, AZ 85032-9385
Phone (480) 443-8400

Hospital & facility affiliations

  • Cobre Valley Regional Medical Center Hospital, Globe, AZ, CCN 031314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Arthritis and Rheumatology Associates CurrentSince May 24, 2018 Accepting new patients
Bigeminy Diagnostic Imaging Inc. Past Accepting new patients

Locations

2152 S Vineyard
Ste 129
Mesa, AZ 85210
Phone (480) 443-8840

4550 E Bell Rd
Ste 170
Phoenix, AZ 85032
Phone (460) 443-8400

Interoperability endpoints

  • Direct secure messaging: kristen.sharma.p1@direct.aara.nextgenshare.com

Organizations & group practices 3

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 3

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": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1659775591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 E BELL RD STE 170",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850329385",
            "telephone_number": "480-443-8400",
            "fax_number": "480-443-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3048 E BASELINE RD",
            "address_2": "SUITE 120",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85204",
            "telephone_number": "480-505-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "KRISTEN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "M.S., PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "GACKA",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "credential": "M.S., PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.