Individual provider Active NPI

Krista Marie Autuori, PA-C

  • Surgical Physician Assistant
  • Chandler, AZ
National Provider Identifier
1952772444
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
6246 Issued in AZ
Practice address
1875 W Frye Rd Ste 300
Chandler, AZ 85224-6184
Phone
(480) 917-5600
Fax
(602) 294-4497
NPI assigned
Oct 9, 2015
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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 6246 AZ
Medical Physician Assistant 363AM0700X 6246 AZ
Surgical Physician Assistant 363AS0400X 6246 AZ Primary

Addresses

Primary practice location

1875 W Frye Rd Ste 300
Chandler, AZ 85224-6184

Mailing address

2910 N 3Rd Ave # 200
Phoenix, AZ 85013-4434
Phone (602) 406-3008

Other practice location 1

485 S Dobson Rd Ste 201
Chandler, AZ 85224-5604
Phone (480) 728-4700

Other identifiers 1

IdentifierTypeStateIssuer
225439MedicaidAZ

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
I20160411001716 AZ Practitioner - Physician Assistant 1951609718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurgical Associates LTDGroup PAC ID 8820993967, 76 clinicians

Practice addresses (Care Compare)

1875 W Frye Rd
Suite 300
Chandler, AZ 85224-6184
Phone (480) 917-5600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates, LTD CurrentSince Feb 3, 2025 Accepting new patients
Neurosurgical Associates, LTD CurrentSince Feb 3, 2025 Accepting new patients
District Medical Group, Inc CurrentSince Dec 30, 2016 Accepting new patients
St. Joseph's Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
District Medical Group, Inc CurrentSince Dec 30, 2016 Accepting new patients
Tri-City Express Care, PLLC CurrentSince Dec 1, 2017 Accepting new patients

Locations

1875 W Frye Rd
Ste 300
Chandler, AZ 85224
Phone (480) 917-5600

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

485 S Dobson Rd
Ste 201
Chandler, AZ 85224
Phone (480) 728-4700

495 N Pinal Pkwy
Ste 106
Florence, AZ 85132
Phone (520) 568-0573

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

890 W Elliot Rd
Ste 103
Gilbert, AZ 85233
Phone (480) 241-7564

920 E Williams Field Rd
Ste 101
Gilbert, AZ 85295
Phone (480) 499-0201

415 N Val Vista Dr
Ste 101
Mesa, AZ 85213
Phone (480) 654-5661

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

2910 N 3rd Ave
#200
Phoenix, AZ 85013
Phone (602) 406-3008

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3030 N Central Ave
Ste 1001
Phoenix, AZ 85012

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

7850 N Silverbell Rd
Ste 132
Tucson, AZ 85743
Phone (480) 500-2286

File 56765
Los Angeles, CA 90074

Interoperability endpoints

  • Direct secure messaging: kautuori127188@direct.valleywisehealth.org
  • Direct secure messaging: krista.autuori.1@31799.direct.athenahealth.com

Organizations & group practices 6

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": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1952772444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 N 3RD AVE # 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134434",
            "telephone_number": "602-406-3008",
            "fax_number": "602-264-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 W FRYE RD STE 300",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246184",
            "telephone_number": "480-917-5600",
            "fax_number": "602-294-4497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "485 S Dobson Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852245604",
            "country_code": "US",
            "telephone_number": "480-728-4700",
            "fax_number": "480-728-4747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUTUORI",
        "first_name": "KRISTA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6246",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "6246",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "6246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225439",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.