NPIMap

Individual provider Active NPI

Kristen Dyan Garrison, PA

  • Physician Assistant
  • Lubbock, TX
National Provider Identifier
1679873657
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09679 Issued in TX
Practice address
4903 82ND St Ste 10
Lubbock, TX 79424-3123
Phone
(806) 794-6886
Fax
(844) 689-4145
NPI assigned
Oct 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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 PA09679 TX Primary

Addresses

Primary practice location

4903 82ND St Ste 10
Lubbock, TX 79424-3123

Mailing address

4903 82ND St Ste 10
Lubbock, TX 79424-3123
Phone (806) 794-6886

Other names 1

  • Kristen Dyan Bartley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150414001219 TX Practitioner - Physician Assistant 4385962810 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Alabama School of Medicine, 2014
Medicare assignment
May accept Medicare assignment
Group practices
David R. Long M.D., P.a.Group PAC ID 5991006140, 5 clinicians
Aspire Primary Care Partners PLLCGroup PAC ID 9830675461, 2 clinicians

Practice addresses (Care Compare)

12115 Indiana Ave
Lubbock, TX 79423-5509
Phone (806) 531-3977

4903 82ND St
Suite 10
Lubbock, TX 79424-3123
Phone (806) 794-6886

Hospital & facility affiliations

  • Excelacare Home Health Home health agency, Lubbock, TX, CCN 677566
  • University Medical Center Hospital, Lubbock, TX, CCN 450686
  • Covenant Childrens Hospital Hospital, Lubbock, TX, CCN 453306
  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040
  • Grace Surgical Hospital Hospital, Lubbock, TX, CCN 450162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA09679TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Primary Care Partners PLLC Physician Assistant CurrentSince Dec 4, 2025 Accepting new patients
Owen Health Group, PLLC Past Accepting new patients

Locations

4903 82nd St
Ste 10
Lubbock, TX 79424
Phone (806) 239-4437

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 9

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": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1679873657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4903 82ND ST STE 10",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243123",
            "telephone_number": "806-794-6886",
            "fax_number": "844-689-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4903 82ND ST STE 10",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243123",
            "telephone_number": "806-794-6886",
            "fax_number": "844-689-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "KRISTEN",
        "middle_name": "DYAN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "BARTLEY",
            "middle_name": "DYAN",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.