Krista Lynn Ault, MD

Individual provider Active NPI Family Medicine Physician · Durango, CO

NPI 1700029774 · NPPES record last updated Aug 28, 2024

Key facts

NPI
1700029774
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
49867 (CO)
Practice address
316 Sawyer Dr
Durango, CO 81303-6560
Phone
(970) 259-3110
NPI assigned
Apr 7, 2009
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 13

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

Medicare Care Compare profile

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 PC (8 clinicians)

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Home Health Mercy Home health agency · Durango, CO · CCN 067119
  • Pasco/SW Home Health Home health agency · Cortez, CO · CCN 067339
  • Mercy Regional Medical Center Hospital · Durango, CO · CCN 060013
  • Animas Surgical Hospital, LLC Hospital · Durango, CO · CCN 060117
  • Southwest Memorial Hospital Hospital · Cortez, CO · CCN 061327

Procedures performed for Medicare patients

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in CO, CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

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

Locations

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

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

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

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 49867 CO Yes

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

  • Krista Lynn Hensinger Former name

Other providers in Durango, CO

All providers in Durango, CO · Family Medicine Physician in Colorado

Sources for this page

Verify at the official NPI Registry.