KRISTINE A WEAVER-MILLER (PA) – Physician Assistant, NPI 1962459040
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,685 PHYSICIAN ASSISTANT in AZ
Provider Addresses for KRISTINE A WEAVER-MILLER (PA)
1739 E Beverly Ave Ste 221
Kingman, AZ 864093593
Phone: (928) 771-5595
Fax: (928) 771-5596
Type: Location
294 W State Route 89A
Suite 107
Cottonwood, AZ 863263754
Phone: (928) 634-1331
Fax: (928) 634-3130
Type: Location
3262 N Windsong Dr Ste A
Prescott Valley, AZ 863142255
Phone: (928) 771-5595
Fax: (928) 771-5596
Type: Location
PO BOX 10880
PRESCOTT, AZ 863040880
Phone: (928) 759-5987
Fax: (928) 458-2039
Type: Mailing
Ainsworth Drive, Prescott, Yavapai County, Arizona, 86301S, United States
PRESCOTT, AZ 86301
Phone: (928) 771-5595
Fax: (928) 771-5596
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $155.
Total Amount is formed as General ($155) + Research ($0) + Ownership ($0) = $155.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Medtronic, Inc. ($90).
Total Amount
$155
General + Research + Ownership
Payments
8
Total payment records
General Amount
$155
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $90 |
| PFIZER INC. | $43 |
| Becton, Dickinson and Company | $22 |
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: 2013-06-18
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 |
|---|---|---|---|---|
| I20040124000428 | I | Physician Assistant | UT | TBD |
| I20130618000838 | I | Physician Assistant | AZ | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 81 | 81 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 18 | 16 | $0 |
Insurance plans in this area (ZIP 86409)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Diagnostic Radiology | UT | |
| Family Practice | UT | |
| H O S P I T A L I S T | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| - | UT | |
| - | UT | |
| - | UT | |
| Family Practice | UT | |
| - | UT |
Reviews
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