Individual provider Active NPI

Cristin Angela Rettler, PA

  • Physician Assistant
  • Prescott, AZ
National Provider Identifier
1811073216
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10952 Issued in AZ
Practice address
3110 Clearwater Dr
Prescott, AZ 86305-7177
Phone
(623) 516-8252
Fax
(623) 516-8253
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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 10952 AZ Primary

Addresses

Primary practice location

3110 Clearwater Dr
Prescott, AZ 86305-7177

Mailing address

9401 W Thunderbird Rd Ste 180
Peoria, AZ 85381-4210
Phone (623) 516-8252

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
I20250321002133 AZ Practitioner - Physician Assistant 1254426414 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Pain Center of Arizona, PCGroup PAC ID 0749183325, 13 clinicians

Practice addresses (Care Compare)

3645 S Rome St
Suite 216
Gilbert, AZ 85297-7338
Phone (623) 516-8252

Hospital & facility affiliations

  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10952AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Center of Arizona PC CurrentSince Oct 28, 2025 Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Apr 1, 2025 Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Apr 1, 2025 Accepting new patients
The Pain Center of Arizona, PC CurrentSince Oct 28, 2025 Accepting new patients
Pearl Foot and Ankle LLC Past Accepting new patients
Anesthesia Partners & Management LLC PastSince Mar 21, 2015 Accepting new patients
Emma J Patterson MD PC PastSince Jul 9, 2025 Accepting new patients

Locations

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

340 S Willard St
Ste 101
Cottonwood, AZ 86326
Phone (928) 639-2015

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249

3645 S Rome St
Ste 216
Gilbert, AZ 85297
Phone (480) 478-5512

9401 W Thunderbird Rd
Ste 180
Peoria, AZ 85381
Phone (623) 241-6153

20333 N 19th Ave
Ste 100
Phoenix, AZ 85027

3110 Clearwater Dr
Ste B
Prescott, AZ 86305
Phone (928) 237-9312

17500 N Perimeter Dr
Ste 100
Scottsdale, AZ 85255

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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 1

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1811073216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 W THUNDERBIRD RD STE 180",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814210",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 CLEARWATER DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057177",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETTLER",
        "first_name": "CRISTIN",
        "middle_name": "ANGELA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.