Individual provider Active NPI

Kristian Victoria Abarca, DNP, FNP

  • Family Nurse Practitioner
  • Willcox, AZ
National Provider Identifier
1710587019
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
231082 Issued in AZ
Practice address
900 W Scott St
Willcox, AZ 85643-1017
Phone
(520) 384-4421
NPI assigned
Oct 27, 2020
Last updated
Oct 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 231082 AZ Primary

Addresses

Primary practice location

900 W Scott St
Willcox, AZ 85643-1017

Mailing address

2687 N Joe Hines Rd
Willcox, AZ 85643-3001
Phone (575) 760-0709

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kabarca@ncch.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250319002990 AZ Practitioner - Nurse Practitioner 4981095023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Corner Health Medical Group P aGroup PAC ID 5799223236, 36 clinicians

Practice addresses (Care Compare)

2 N Central Ave
Suite 1800
Phoenix, AZ 85004-2139
Phone (425) 243-3719

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
231082AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Corner Health Medical Group P a Family CurrentSince Jan 1, 2025 Accepting new patients
Lazul Health PLLC CurrentSince Jan 1, 2025 Accepting new patients
Northwest Rheumatology PLLC PastSince Jan 1, 2025 Accepting new patients

Locations

13 N San Francisco St
Ste 6
Flagstaff, AZ 86001
Phone (928) 405-0173

2 N Central Ave
Ste 1800
Phoenix, AZ 85004
Phone (425) 243-3719

173 N Haskell Ave
Willcox, AZ 85643
Phone (480) 530-6170

312 Arizona Ave
Ste 314
Santa Monica, CA 90401

Interoperability endpoints

  • Direct secure messaging: kabarca@ncch.com
  • Direct secure messaging: kabarca@ncch.ssdirect.aprima.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1710587019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2687 N JOE HINES RD",
            "city": "WILLCOX",
            "state": "AZ",
            "postal_code": "856433001",
            "telephone_number": "575-760-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W SCOTT ST",
            "city": "WILLCOX",
            "state": "AZ",
            "postal_code": "856431017",
            "telephone_number": "520-384-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABARCA",
        "first_name": "KRISTIAN",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "DNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "231082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kabarca@ncch.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "address_1": "900 W Scott St",
            "city": "Willcox",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "856431017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Willcox, AZ

Sources for this page

Verify at the official NPI Registry.