Individual provider Active NPI

Krista Lynn Ault, MD

  • Family Medicine Physician
  • Durango, CO
National Provider Identifier
1700029774
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
49867 Issued in CO
Practice address
316 Sawyer Dr
Durango, CO 81303-6560
Phone
(970) 259-3110
NPI assigned
Apr 7, 2009
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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 49867 CO Primary

Addresses

Primary practice location

316 Sawyer Dr
Durango, CO 81303-6560

Mailing address

316 Sawyer Dr
Durango, CO 81303-6560
Phone (970) 259-3110

Other names 1

  • Krista Lynn Hensinger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120703000670 CO Practitioner - Family Practice 1759546302 Reassigns benefits to 1 organization
I20200721002185 CA Practitioner - Family Practice 1759546302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
La Plata Family Medicine Assoc PCGroup PAC ID 5496727240, 8 clinicians

Practice addresses (Care Compare)

316 Sawyer Dr
Durango, CO 81303-6560
Phone (970) 259-3110

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions15
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tahoe Carson Valley Medical Group Inc Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
La Plata Family Medicine Assoc PC Family Medicine CurrentSince Sep 8, 2021 Accepting new patients

Locations

1090 3rd St
South Lake Tahoe, CA 96150
Phone (530) 543-5660

2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420

2209 South Ave
Ste Ab
South Lake Tahoe, CA 96150
Phone (530) 600-1960

316 Sawyer Dr
Durango, CO 81303
Phone (970) 259-3110

Interoperability endpoints

  • Direct secure messaging: kault158278@direct.renown.org
  • Direct secure messaging: krista.ault.1@21671.direct.athenahealth.com

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1700029774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 SAWYER DR",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813036560",
            "telephone_number": "970-259-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 SAWYER DR",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813036560",
            "telephone_number": "970-259-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AULT",
        "first_name": "KRISTA",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-07",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "49867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "HENSINGER",
            "middle_name": "LYNN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.