Individual provider Active NPI

Kristina Hammer, PA

  • Physician Assistant
  • Albuquerque, NM
National Provider Identifier
1730502162
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2013-0088 Issued in NM
Practice address
4705 Montgomery Blvd NE Ste 201
Albuquerque, NM 87109-1233
Phone
(505) 888-0443
Fax
(505) 888-1398
NPI assigned
Jan 21, 2014
Last updated
Jun 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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 PA2013-0088 NM Primary

Addresses

Primary practice location

4705 Montgomery Blvd NE Ste 201
Albuquerque, NM 87109-1233

Mailing address

11300 Eagle Rock Ave NE
Albuquerque, NM 87122-4112
Phone (505) 314-6043

Other practice location 1

1515 Eubank Blvd SE
Bldg 831/832
Albuquerque, NM 87123-3453
Phone (505) 844-6546

Other identifiers 1

IdentifierTypeStateIssuer
97506044MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20140218000146 NM Practitioner - Physician Assistant 9335378314 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Anesthesia LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kristina.hammer.p13@direct.medcor.nextgenshare.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.

NPI Registry JSON

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1730502162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 EAGLE ROCK AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871224112",
            "telephone_number": "505-314-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 MONTGOMERY BLVD NE STE 201",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091233",
            "telephone_number": "505-888-0443",
            "fax_number": "505-888-1398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Eubank Blvd SE",
            "address_2": "Bldg 831/832",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871233453",
            "country_code": "US",
            "telephone_number": "505-844-6546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMER",
        "first_name": "KRISTINA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-21",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2013-0088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97506044",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.