CHRISTY FALLIN (FNP-C) – Nurse Practitioner, NPI 1114699683

CHRISTY FALLIN (FNP-C) is a healthcare provider. based in Santa cruz, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 95017221 (CA). The NPI Number for CHRISTY FALLIN (FNP-C) is 1114699683

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTY FALLIN (FNP-C)
NPI
1114699683
Phone
(619) 944-9839
Address
402 WOODLAND WAY
Enumeration Date
1 October 2021
Last Update Date
26 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4085288833
Graduation Year
2020 (6 years ago)
PAC ID
5092181446
Group Practice PAC ID
0941479216
Professional Enrollment ID
I20250904002015
Address ID
CA951246350SA1604XRDXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for CHRISTY FALLIN (FNP-C)

  • 402 WOODLAND WAY

    SANTA CRUZ, CA 950606230

    Phone: (619) 944-9839

    Type: Mailing

  • 200 7TH AVE STE 150

    SANTA CRUZ, CA 950624669

    Phone: (831) 462-1060

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $98.

Total Amount is formed as General ($98) + Research ($0) + Ownership ($0) = $98.

Last reported payment date: 2024-03-06 • Largest payer in this snapshot: ViiV Healthcare Company ($81).

Total Amount

$98

General + Research + Ownership

Payments

2

Total payment records

General Amount

$98

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-06

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-09-04

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
I20250904002015INurse PractitionerCATBD

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 95060)

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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: 0941479216View full group profile
NameSpecialtyState
Nurse PractitionerVA
Clinical PsychologistCA
Physical Medicine And RehabilitationNV
-CA
Physical Medicine And Rehabilitation, Pain ManagementCA
Physical Medicine And Rehabilitation, Internal Medicine, Pain ManagementCA
Physical Medicine And Rehabilitation, Interventional Pain Management, Pain ManagementCA
Clinical PsychologistCA
Nurse PractitionerCA
-CA

Reviews

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Frequently asked questions

How is CHRISTY FALLIN (FNP-C) identified in CMS data?
CMS-hosted NPPES data lists CHRISTY FALLIN (FNP-C) with NPI 1114699683.
Does CMS list CHRISTY FALLIN (FNP-C) as active?
Yes — CHRISTY FALLIN (FNP-C) is active in the NPI listing used on this page.
What taxonomy line describes CHRISTY FALLIN (FNP-C)?
For research purposes, treat CHRISTY FALLIN (FNP-C) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does CHRISTY FALLIN (FNP-C) serve?
CHRISTY FALLIN (FNP-C)'s listing highlights Santa Cruz, California; 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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