Individual provider Active NPI

Kristen Paige Sistrunk, FNP-C

  • Nurse Practitioner
  • Mer Rouge, LA
National Provider Identifier
1801712708
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
247696 Issued in LA
Practice address
108 N 16TH St
Mer Rouge, LA 71261-9726
Phone
(318) 239-8010
Fax
(318) 647-3909
NPI assigned
Jun 25, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 247696 LA Primary

Addresses

Primary practice location

108 N 16TH St
Mer Rouge, LA 71261-9726

Mailing address

PO Box 792
Mer Rouge, LA 71261-0792
Phone (318) 283-8887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 792
Bastrop, LA 71221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1782345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1801712708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792",
            "city": "MER ROUGE",
            "state": "LA",
            "postal_code": "712610792",
            "telephone_number": "318-283-8887",
            "fax_number": "318-647-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N 16TH ST",
            "city": "MER ROUGE",
            "state": "LA",
            "postal_code": "712619726",
            "telephone_number": "318-239-8010",
            "fax_number": "318-647-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISTRUNK",
        "first_name": "KRISTEN",
        "middle_name": "PAIGE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-25",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "247696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mer Rouge, LA

Sources for this page

Verify at the official NPI Registry.