ALLISON KARINE KAVANAGH – Family Nurse Practitioner, NPI 1073260469

ALLISON KARINE KAVANAGH is a healthcare provider. based in Flagstaff, Arizona. specializing in NURSE PRACTITIONER. They hold a License No. 271887 (AZ). The NPI Number for ALLISON KARINE KAVANAGH is 1073260469

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
ALLISON KARINE KAVANAGH
NPI
1073260469
Phone
(928) 774-2788
Address
1515 E CEDAR AVE STE A-3
Enumeration Date
4 March 2022
Last Update Date
4 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9287732222
Graduation Year
2021 (5 years ago)
PAC ID
3072991660
Group Practice PAC ID
6901880210
Professional Enrollment ID
I20220610001063
Address ID
AZ860011483FL77XXXAVEX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

7,509 NURSE PRACTITIONER in AZ

Provider Addresses for ALLISON KARINE KAVANAGH

  • 1515 E CEDAR AVE STE A-3

    FLAGSTAFF, AZ 860041630

    Phone: (928) 774-2788

    Fax: (928) 774-0123

    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)

CMS reports 20 Open Payments records for all available years, with a total value of $536.

Total Amount is formed as General ($536) + Research ($0) + Ownership ($0) = $536.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: GENZYME CORPORATION ($266).

Total Amount

$536

General + Research + Ownership

Payments

20

Total payment records

General Amount

$536

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2022-06-10

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
I20220610001063INurse PractitionerAZTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes7165$0
99442Telephone medical discussion with physician, 11-20 minutes5656$0
69210Removal of impacted ear wax3131$0
99203New patient office or other outpatient visit, 30-44 minutes1919$0
99443Telephone medical discussion with physician, 21-30 minutes1513$0
View full utilization report →

Insurance plans in this area (ZIP 86004)

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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: 6901880210View full group profile
NameSpecialtyState
U R O L O G YAZ
Qualified AudiologistAZ
Nurse PractitionerAZ
General SurgeryAZ
General SurgeryAZ
General SurgeryAZ
General SurgeryNY
O T O L A R Y N G O L O G YMI
Qualified AudiologistAZ
General SurgeryAZ

Reviews

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Frequently asked questions

Can I use this page to confirm ALLISON KARINE KAVANAGH's NPI?
Yes. ALLISON KARINE KAVANAGH is listed with NPI 1073260469 in the public NPI dataset.
Does the file indicate ALLISON KARINE KAVANAGH is practicing under active NPI?
Directory data currently reports ALLISON KARINE KAVANAGH as active.
What healthcare role does ALLISON KARINE KAVANAGH hold?
Scheduling teams often label ALLISON KARINE KAVANAGH under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect ALLISON KARINE KAVANAGH on a map?
Expect Flagstaff, Arizona as a primary anchor for ALLISON KARINE KAVANAGH unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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