Individual provider Active NPI

Anne E. Kristensen, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1861499733
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8347 Issued in NV
Practice address
8571 W Lake Mead Blvd
Suite 120
Las Vegas, NV 89128-7644
Phone
(702) 360-5194
Fax
(702) 319-4754
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8347 NV Primary

Addresses

Primary practice location

8571 W Lake Mead Blvd
Suite 120
Las Vegas, NV 89128-7644

Mailing address

8571 W Lake Mead Blvd
Suite 120
Las Vegas, NV 89128-7644
Phone (702) 360-5194

Other identifiers 2

IdentifierTypeStateIssuer
CS09044OtherNVNV ST BD OF PHARMACY ID#
8347OtherNVNV ST. BD OF MED. LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050915001225 NV Practitioner - Internal Medicine 7618900184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loma Linda University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kristensen Festenese Medical Group LLCGroup PAC ID 1355374828, 2 clinicians

Practice addresses (Care Compare)

8571 W Lake Mead Blvd
Suite 120
Las Vegas, NV 89128-7665
Phone (702) 360-5194

Hospital & facility affiliations

  • All Care Home Health Home health agency, Las Vegas, NV, CCN 297078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8347NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kristensen Festenese Medical Group LLC CurrentSince Sep 5, 2005 Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients

Locations

8571 W Lake Mead Blvd
Ste 120
Las Vegas, NV 89128
Phone (702) 360-5194

8571 W Lake Mead Blvd
Las Vegas, NV 89128
Phone (702) 360-5194

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 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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1861499733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8571 W LAKE MEAD BLVD",
            "address_2": "SUITE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287644",
            "telephone_number": "702-360-5194",
            "fax_number": "702-319-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8571 W LAKE MEAD BLVD",
            "address_2": "SUITE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287644",
            "telephone_number": "702-360-5194",
            "fax_number": "702-319-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISTENSEN",
        "first_name": "ANNE",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2023-03-07",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "8347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV ST BD OF PHARMACY ID#",
            "identifier": "CS09044",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV ST. BD OF MED. LICENSE",
            "identifier": "8347",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.