Individual provider Active NPI

Tristen Marie Price, FNP-C

  • Family Nurse Practitioner
  • Palmdale, CA
National Provider Identifier
1902519358
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95023739 Issued in CA
Practice address
36540 Clearwood CT
Palmdale, CA 93550-7959
Phone
(818) 606-5620
NPI assigned
Dec 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95023739 CA Primary

Addresses

Primary practice location

36540 Clearwood CT
Palmdale, CA 93550-7959

Mailing address

43779 15TH St W
Lancaster, CA 93534-4754
Phone (818) 606-5620

Other identifiers 1

IdentifierTypeStateIssuer
95023739OtherCAFNP LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Palmdale Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230328000562 CA Practitioner - Nurse Practitioner 7618341942 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doa Professional CorporationGroup PAC ID 0042661969, 5 clinicians

Practice addresses (Care Compare)

24335 Magic Mountain Pkwy
Santa Clarita, CA 91355-3402
Phone (877) 989-6552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95023739CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
High Desert Medical Group CurrentSince Mar 10, 2023 Accepting new patients
Doa Professional Corporation CurrentSince May 1, 2024 Accepting new patients

Locations

43839 15th St W
Lancaster, CA 93534
Phone (661) 945-5984

24335 Magic Mountain Pkwy
Valencia, CA 91355
Phone (818) 624-1290

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00399
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: tristen.lopez@direct.hdmg.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1902519358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43779 15TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344754",
            "telephone_number": "818-606-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36540 CLEARWOOD CT",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935507959",
            "telephone_number": "818-606-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "TRISTEN",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-30",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP LICENSE NUMBER",
            "identifier": "95023739",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Palmdale",
            "affiliation": "N",
            "endpointDescription": "Palmdale",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "36540 Clearwood Ct",
            "city": "Palmdale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935507959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.