KRISTEN RAU (FNP) – Family Nurse Practitioner, NPI 1154077618

KRISTEN RAU (FNP) is a healthcare provider. based in Phoenix, Arizona. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 265811 (AZ). The NPI Number for KRISTEN RAU (FNP) is 1154077618

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN RAU (FNP)
NPI
1154077618
Phone
(480) 282-7187
Address
3104 E CAMELBACK RD # 2514
Enumeration Date
23 February 2022
Last Update Date
23 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7573699446
Graduation Year
2021 (5 years ago)
PAC ID
4880048834
Group Practice PAC ID
5193784395
Professional Enrollment ID
I20230926001350
Address ID
VA236028352NE12997BLVD300
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 KRISTEN RAU (FNP)

  • 3104 E CAMELBACK RD # 2514

    PHOENIX, AZ 850164502

    Phone: (480) 282-7187

    Type: Mailing

  • 1451 GEORGE WASHINGTON MEMORIAL HWY UNIT 554

    GLOUCESTER POINT, VA 230622747

    Phone: (480) 282-7187

    Type: Mailing

  • 350 W MCLELLAN RD UNIT 4

    MESA, AZ 852012262

    Phone: (480) 282-7187

    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: 2024-05-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20230926001350INurse PractitionerVATBD
I20231115003398INurse PractitionerMITBD
I20240405000303INurse PractitionerSCTBD
I20240520000939INurse PractitionerFLTBD

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 85016)

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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: 5193784395View full group profile
NameSpecialtyState
Nurse PractitionerVA
Emergency MedicineVA
-VA
Family Practice, HospitalistVA
Internal MedicineVA
Nurse PractitionerVA
Emergency MedicineVA
Family PracticeVA
Family Practice, Internal MedicineMD
-VA

Reviews

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Frequently asked questions

What NPI should I save for KRISTEN RAU (FNP)?
Save NPI 1154077618 if you need a stable reference for KRISTEN RAU (FNP).
Does this profile mean KRISTEN RAU (FNP) is currently active?
Yes — KRISTEN RAU (FNP) appears active in the national provider directory.
What kind of provider is KRISTEN RAU (FNP)?
The page reflects Family Nurse Practitioner for KRISTEN RAU (FNP). Clinical services aligned with this taxonomy classification.
What location metadata exists for KRISTEN RAU (FNP)?
The page summarizes Phoenix, Arizona for KRISTEN RAU (FNP); expand the address list for detail.
What if Phoenix, Arizona seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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