Individual provider Active NPI

Kristen Marie Bevalet, CRNP

  • Family Medicine Physician
  • Auburn, AL
National Provider Identifier
1669024071
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1-148691 Issued in AL
Practice address
665 Opelika Rd Ste 200
Auburn, AL 36830-4086
Phone
(334) 826-1899
NPI assigned
Jul 15, 2019
Last updated
Jul 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1-148691 AL Primary

Addresses

Primary practice location

665 Opelika Rd Ste 200
Auburn, AL 36830-4086

Mailing address

665 Opelika Rd Ste 200
Auburn, AL 36830-4086
Phone (334) 826-1899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20191016000558 AL Practitioner - Nurse Practitioner 1153652508 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
East Alabama Heart and Vascular, LLCGroup PAC ID 9638344708, shared by 2 NPIs, 31 clinicians

Practice addresses (Care Compare)

2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone (334) 528-5400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-148691ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Alabama Heart and Vascular, LLC CurrentSince Jan 30, 2025 Accepting new patients
East Alabama Heart and Vascular, LLC CurrentSince Jan 30, 2025 Accepting new patients

Locations

2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300

2601 Village Professional Dr N
Opelika, AL 36801
Phone (334) 528-5959

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.

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": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1669024071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 OPELIKA RD STE 200",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368304086",
            "telephone_number": "334-826-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 OPELIKA RD STE 200",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368304086",
            "telephone_number": "334-826-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVALET",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1-148691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

Verify at the official NPI Registry.