Kristin Anne Shilson, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

232042 Issued in AZ

Practice address

7750 E Broadway Blvd Ste A100
Tucson, AZ 85710-3901

Phone

(520) 327-1529

NPI assigned

Sep 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Easter Seals Blake FoundationGroup PAC ID 9335302710, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Easter Seals Blake Foundation

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1548781487
  Medicare reassignment Care Compare group NPD
• Easter Seals Blake Foundation

  • Community/Behavioral Health Agency
  • Thatcher, AZ
  • NPI 1053828160
  NPD
• Easter Seals Blake Foundation

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1831062603
  NPD
• Easter Seals Blake Foundation

  • Community/Behavioral Health Agency
  • Yuma, AZ
  • NPI 1427554708
  NPD (past)
• Easter Seals Blake Foundation

  • Community/Behavioral Health Agency
  • Casa Grande, AZ
  • NPI 1528400538
  NPD (past)
• Easter Seals Blake Foundation

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1932530797
  NPD (past)

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1700436375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 N COPPERKNOLL CIR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773815148",
            "telephone_number": "347-225-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 E BROADWAY BLVD STE A100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103901",
            "telephone_number": "520-327-1529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 S 5th St",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "856351857",
            "country_code": "US",
            "telephone_number": "520-452-9784",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7756 E Broadway Blvd Ste C100",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857104022",
            "country_code": "US",
            "telephone_number": "520-327-1529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3860 W 24th St Ste 201-208",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853649282",
            "country_code": "US",
            "telephone_number": "928-276-9225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5120 E Alberta Dr",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857113119",
            "country_code": "US",
            "telephone_number": "520-514-7480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3327 E Broadway Blvd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857165858",
            "country_code": "US",
            "telephone_number": "520-318-0272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 S Meyer Ave",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857012207",
            "country_code": "US",
            "telephone_number": "520-209-2492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115 E Florence Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851224228",
            "country_code": "US",
            "telephone_number": "520-723-4429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1270 W Silverlake Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857132728",
            "country_code": "US",
            "telephone_number": "347-225-4827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "618 S Central Ave",
            "address_purpose": "LOCATION",
            "city": "Safford",
            "state": "AZ",
            "postal_code": "855462721",
            "country_code": "US",
            "telephone_number": "928-362-7343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHILSON",
        "first_name": "KRISTIN",
        "middle_name": "ANNE",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0001651-C-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "927043",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "232042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.