KRISTINA AMUNDSON (CNM) – Obstetrics & Gynecology Nurse Practitioner, NPI 1467827360

KRISTINA AMUNDSON (CNM) is a healthcare provider. based in Fairbanks, Alaska. specializing in Obstetrics & Gynecology Nurse Practitioner. They hold the professional credentials CNM. They hold a License No. NURR30853 (AK). The NPI Number for KRISTINA AMUNDSON (CNM) is 1467827360

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINA AMUNDSON (CNM)
NPI
1467827360
Phone
(907) 479-7701
Address
1626 30TH AVE
Enumeration Date
3 December 2015
Last Update Date
3 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9074797701
Graduation Year
2015 (11 years ago)
PAC ID
1951606623
Group Practice PAC ID
1658268735
Professional Enrollment ID
I20160218001208
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:10State licenses:2Digital endpointsOther names

Provider Addresses for KRISTINA AMUNDSON (CNM)

  • 1626 30TH AVE

    FAIRBANKS, AK 997017466

    Phone: (907) 479-7701

    Fax: (907) 479-7718

    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: 2016-02-18

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
I20160218001208ICertified Nurse Midwife (Cnm)AKTBD

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 99701)

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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: 1658268735View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YAK
Nurse PractitionerAK
O B S T E T R I C S/ G Y N E C O L O G YAK

Reviews

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Frequently asked questions

Can I use this page to confirm KRISTINA AMUNDSON (CNM)'s NPI?
Yes. KRISTINA AMUNDSON (CNM) is listed with NPI 1467827360 in the public NPI dataset.
Does CMS list KRISTINA AMUNDSON (CNM) as active?
Yes — KRISTINA AMUNDSON (CNM) is active in the NPI listing used on this page.
What taxonomy line describes KRISTINA AMUNDSON (CNM)?
For research purposes, treat KRISTINA AMUNDSON (CNM) as Obstetrics & Gynecology Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does KRISTINA AMUNDSON (CNM) serve?
KRISTINA AMUNDSON (CNM)'s listing highlights Fairbanks, Alaska; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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