KRISTEN MASSEY – Psychiatric/Mental Health Nurse Practitioner, NPI 1083594956

KRISTEN MASSEY is a healthcare provider. based in Flagstaff, Arizona. specializing in NURSE PRACTITIONER. They hold a License No. 169916 (AZ). The NPI Number for KRISTEN MASSEY is 1083594956

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
KRISTEN MASSEY
NPI
1083594956
Phone
Not provided
Address
3120 N NANCY DR
Enumeration Date
3 September 2025
Last Update Date
3 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9282894646
Graduation Year
2025 (1 year ago)
PAC ID
9931697281
Group Practice PAC ID
4284548991
Professional Enrollment ID
I20251020002347
Address ID
AZ860472169WI500XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

7,575 NURSE PRACTITIONER in AZ

Provider Addresses for KRISTEN MASSEY

  • 3120 N NANCY DR

    FLAGSTAFF, AZ 860010913

    Phone:

    Type: Mailing

  • 500 INDIANA AVE

    WINSLOW, AZ 860472169

    Phone: (928) 289-4646

    Type: Location

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: 2025-10-20

PECOS data refreshed: 2026-06-15

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
I20251020002347INurse PractitionerTXTBD

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 86001)

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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: 4284548991View full group profile
NameSpecialtyState
-VA
O P T O M E T R YAZ
-NY
-WA
Rheumatology, Internal MedicineAZ
Cardiovascular Disease (Cardiology)AZ
Physician AssistantAZ
O P T O M E T R YAZ
Nurse PractitionerAZ
-TN

Reviews

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Frequently asked questions

What is the registry number for KRISTEN MASSEY?
The registry entry for KRISTEN MASSEY shows NPI 1083594956.
Is KRISTEN MASSEY currently accepting referrals based on NPI status?
Registry metadata lists KRISTEN MASSEY as active.
What type of care does KRISTEN MASSEY provide?
KRISTEN MASSEY's profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KRISTEN MASSEY?
KRISTEN MASSEY is associated with Flagstaff, Arizona in the same public data insurers reference.
Who maintains KRISTEN MASSEY's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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