Gina Marie Kristiansen

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

306033 Issued in AZ

Practice address

2331 Hualapai Mountain Rd Ste C
Kingman, AZ 86401-6207

Phone

(928) 565-6655

Fax

(928) 565-6578

NPI assigned

Oct 28, 2020

Last updated

Aug 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cook Family Practice IncGroup PAC ID 8325376353, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Family Care Home Health Agency Home health agency, Bullhead City, AZ, CCN 037477
• Kingman Regional Medical Center Home Health Home health agency, Kingman, AZ, CCN 037050
• Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gina.kristiansen.1@19979.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/19979/brand/1/csg/1/fhir/r4

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.

• Cook Family Practice Inc

  • Family Nurse Practitioner
  • Kingman, AZ
  • NPI 1497302988
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Family Care Home Health & Hospice LLC

  dba Family Care Home Health Agency

  • Home Health Agency
  • Bullhead City, AZ
  • NPI 1053834887
  Care Compare affiliation
• Kingman Healthcare, Inc

  dba Kingman Regional Medical Center Home Health

  • Home Health Agency
  • Kingman, AZ
  • NPI 1174701478
  Care Compare affiliation
• Kingman Healthcare, Inc

  dba Kingman Regional Medical Center

  • General Acute Care Hospital
  • Kingman, AZ
  • NPI 1265423917

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1851991947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 HUALAPAI MOUNTAIN RD STE C",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864016207",
            "telephone_number": "928-565-6655",
            "fax_number": "928-565-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 HUALAPAI MOUNTAIN RD STE C",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864016207",
            "telephone_number": "928-565-6655",
            "fax_number": "928-565-6578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISTIANSEN",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "306033",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "1014793",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Elizabeth Komosinski, PT, DPT
• Steven Korona, MSN, RN, PMHNP
• Michael A Kort, DDS
• Jacqueline Kremer, PA-C
• Krikor Krikorian, DO
• Tricia Marie Kruger, M.D.
• Aurelia C Kucera, DO, PHD
• Dawn Lavelle Kufeld, MS NCC LPC
• Michael J Kufeld
• Sean L'Huillier Sr., FNP-C

• Family Nurse Practitioner in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.