Individual provider Active NPI

Kristie Nelson, PA

  • Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1881172526
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2025-0107 Issued in NM
Practice address
8405 N Pima Center Pkwy Ste 101
Scottsdale, AZ 85258-4669
Phone
(602) 648-5444
Fax
(602) 772-3801
NPI assigned
Aug 3, 2018
Last updated
Feb 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7220 AZ
Surgical Physician Assistant 363AS0400X 7220 AZ
Physician Assistant 363A00000X PA2025-0107 NM Primary

Addresses

Primary practice location

8405 N Pima Center Pkwy Ste 101
Scottsdale, AZ 85258-4669

Mailing address

PO Box 80217
Phoenix, AZ 85060-0217
Phone (602) 385-2115

Other practice location 1

735 W Animas St
Farmington, NM 87401-5616
Phone (505) 609-6300

Other names 1

  • Kristie Thatcher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181206000888 AZ Practitioner - Physician Assistant 8426392176 Reassigns benefits to 2 organizations
I20260224003449 NM Practitioner - Physician Assistant 8426392176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5620 E Bell Rd
Scottsdale, AZ 85254-5950
Phone (602) 385-2115

735 W Animas St
SJR General Surgeons
Farmington, NM 87401-6113
Phone (505) 609-6300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7220AZMDPharmacist
PA2025-0107NMMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
San Juan Regional Medical Center Inc CurrentSince Feb 16, 2026 Accepting new patients
San Juan Regional Medical Center Inc Current Accepting new patients
San Juan Regional Medical Center Inc CurrentSince Feb 16, 2026 Accepting new patients
Orthopedic Specialists of North America, PLLC CurrentSince Jun 1, 2023 Accepting new patients
Orthopedic Specialists of North America, PLLC Past Accepting new patients

Locations

1675 E Melrose St
Ste 101103
Gilbert, AZ 85297
Phone (602) 631-3161

2355 E Camelback Rd
Ste 325
Phoenix, AZ 85016
Phone (602) 772-3795

3033 N 44th St
Ste 360
Phoenix, AZ 85018

5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050

8405 N Pima Center Pkwy
Ste 101
Scottsdale, AZ 85258
Phone (602) 493-9361

407 S Schwartz Ave
Ste 201
Farmington, NM 87401
Phone (505) 609-6300

735 W Animas St
Farmington, NM 87401
Phone (505) 564-6850

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1881172526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80217",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850600217",
            "telephone_number": "602-385-2115",
            "fax_number": "480-418-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8405 N PIMA CENTER PKWY STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584669",
            "telephone_number": "602-648-5444",
            "fax_number": "602-772-3801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "735 W Animas St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874015616",
            "country_code": "US",
            "telephone_number": "505-609-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KRISTIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "7220",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "7220",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2025-0107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIE",
            "last_name": "THATCHER",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.