KRISTA THREATT – Nurse Practitioner, NPI 1386538114

KRISTA THREATT is a healthcare provider. based in Opelika, Alabama. specializing in NURSE PRACTITIONER. They hold a License No. 1-145087 (AL). The NPI Number for KRISTA THREATT is 1386538114

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
KRISTA THREATT
NPI
1386538114
Phone
(334) 749-6523
Address
121 N 20TH ST STE 20A
Enumeration Date
5 June 2025
Last Update Date
5 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3347496523
Graduation Year
2024 (2 years ago)
PAC ID
1759864432
Group Practice PAC ID
3971529793
Professional Enrollment ID
I20260311001245
Address ID
AL368015456OP121XXSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for KRISTA THREATT

  • 121 N 20TH ST STE 20A

    OPELIKA, AL 368015456

    Phone: (334) 749-6523

    Fax: (334) 742-0242

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-03-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260311001245INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971529793View full group profile
NameSpecialtyState
Internal Medicine, NephrologyAL
Nurse PractitionerAL
Internal Medicine, NephrologyAL
N E P H R O L O G YMD
Nurse PractitionerAL
N E P H R O L O G YTN
N E P H R O L O G YAL
-AL
N E P H R O L O G YAL

Reviews

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Frequently asked questions

Is there an official ID for KRISTA THREATT in U.S. healthcare records?
The official identifier for KRISTA THREATT is NPI 1386538114.
Would KRISTA THREATT appear as active to a payer?
You can treat KRISTA THREATT as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with KRISTA THREATT?
KRISTA THREATT's record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KRISTA THREATT located near Opelika?
KRISTA THREATT currently maps to Opelika, Alabama in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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