DR. KRISTEL WYN RUSH (MD) – Family Medicine Physician, NPI 1164408126
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
495 FAMILY PRACTICE in AK
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Provider Addresses for DR. KRISTEL WYN RUSH (MD)
Cordova Post Office, Kittys Corner Road, Forest Gardens, Cordova, Talbot County, Maryland, 21625, United States
CORDOVA, AK 995742290
Phone: (907) 424-3622
Fax: (907) 424-3681
Type: Mailing
Ilanka Community Health Center, 705, 2nd Street, Cordova, Unorganized Borough, Alaska, 99574, United States
CORDOVA, AK 99574
Phone: (907) 424-3622
Fax: (907) 424-3275
Type: Location
3261 S Big Lake Rd
Big Lake, AK 996239663
Phone: (907) 376-2411
Fax: (907) 352-3301
Type: Location
425 E Dahlia Ave Ste M
Palmer, AK 996456463
Phone: (907) 376-2411
Fax: (907) 352-3301
Type: Location
1363 W SPRUCE AVE
WASILLA, AK 996545327
Phone: (907) 376-2411
Fax: (907) 352-3301
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $431.
Total Amount is formed as General ($431) + Research ($0) + Ownership ($0) = $431.
Last reported payment date: 2024-10-08 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($120).
Total Amount
$431
General + Research + Ownership
Payments
12
Total payment records
General Amount
$431
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $120 |
| AstraZeneca Pharmaceuticals LP | $115 |
| Neurocrine BioSciences Inc. | $88 |
| ABBVIE INC. | $71 |
| Sage Therapeutics, Inc. | $19 |
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: 2021-10-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040804001711 | I | Family Practice | TN | TBD |
| I20211027000734 | I | Family Practice | AK | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 81002 | Urinalysis, manual test | 19 | 16 | $0 |
Insurance plans in this area (ZIP 99574)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AK | |
| Clinical Social Worker | GA | |
| Clinical Social Worker | AK | |
| Mental Health Counselor | AK | |
| Mental Health Counselor | AK | |
| Physician Assistant | AK | |
| Clinical Social Worker | AK | |
| Clinical Social Worker | UT | |
| Physician Assistant | AK | |
| P S Y C H I A T R Y | HI |
Reviews
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