Kirsten Nicole Aanensen, PA-C
Individual provider Active NPI Physician Assistant · Atlanta, GA
NPI 1669367702 · NPPES record last updated Oct 17, 2025
Key facts
- NPI
- 1669367702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 13240 (GA)
- Practice address
- 2220 N Druid Hills Rd NE
Atlanta, GA 30329-3117 - Phone
- (717) 371-2607
- NPI assigned
- Jun 10, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1575 Northeast Expy NE
Brookhaven, GA 30329-2401
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251114001679 | GA | Practitioner - Physician Assistant | 1355832668 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choa Multispecialty, LLC | Current | Accepting new patients | |
| Choa Hospital Based, LLC | Current |
Accepting new patients |
Locations
1405 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 785-1112
2220 N Druid Hills Rd NE
Brookhaven, GA 30329
Phone (404) 778-1440
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 13240 | GA | Yes |
Addresses
Primary practice location
2220 N Druid Hills Rd NE
Atlanta, GA 30329-3117
Mailing address
2220 N Druid Hills Rd NE
Atlanta, GA 30329-3117
Phone (717) 371-2607
Other providers in Atlanta, GA
- A2H2
- Aa-Med-Care, Inc
- Aaa Waterford Medical Clinic, LLC
- Thomas M Aaberg
- Aadira Home Care LLC
- Aaron Godwin MD LLC
- Aleta Aaron
- Hayden Koehler Aaron
- Maria M Aaron
- Rebecca Aaron
All providers in Atlanta, GA · Physician Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.