KRISTA PREWETT (FNP) – Adult Medicine Physician, NPI 1619513611

KRISTA PREWETT (FNP) is a healthcare provider. based in Anaheim, California. specializing in Adult Medicine Physician. They hold the professional credentials FNP. They hold a License No. 95012088 (CA). The NPI Number for KRISTA PREWETT (FNP) is 1619513611

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KRISTA PREWETT (FNP)
NPI
1619513611
Phone
(562) 242-9595
Address
344O E. LA PALMA AVENUE
Enumeration Date
25 November 2019
Last Update Date
13 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9495430124
Graduation Year
2019 (7 years ago)
PAC ID
6103242755
Group Practice PAC ID
8628390770
Professional Enrollment ID
I20200813002278
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for KRISTA PREWETT (FNP)

  • 344O E. LA PALMA AVENUE

    ANAHEIM, CA 92806

    Phone: (562) 242-9595

    Type: Location

  • 6670 Alton Pkwy

    Irvine, CA 92618

    Phone: (949) 932-5133

    Type: Location

  • 17817 Santiago Blvd Ste 206

    Villa Park, CA 928614133

    Phone: (714) 974-1362

    Fax: (714) 974-3145

    Type: Location

  • 200 N Lewis St

    Orange, CA 928681538

    Phone: (949) 932-5133

    Type: Location

  • 6640 Alton Pkwy

    Irvine, CA 926183734

    Phone: (949) 932-5133

    Type: Location

  • 3460 E LA PALMA AVE

    ANAHEIM, CA 928062020

    Phone: (949) 932-5133

    Type: Location

  • 6670 ALTON PKWY

    IRVINE, CA 926183734

    Phone: (949) 932-5133

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2023-02-26 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-26

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: 2020-08-13

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
I20200813002278INurse 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 92806)

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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: 8628390770View full group profile
NameSpecialtyState
-CA

Reviews

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Frequently asked questions

Is there an official ID for KRISTA PREWETT (FNP) in U.S. healthcare records?
The official identifier for KRISTA PREWETT (FNP) is NPI 1619513611.
Is KRISTA PREWETT (FNP) shown as active in public data?
Registry records indicate KRISTA PREWETT (FNP) maintains an active NPI.
What area of care is associated with KRISTA PREWETT (FNP)?
KRISTA PREWETT (FNP)'s record emphasizes Adult Medicine Physician. Clinical services aligned with this taxonomy classification.
Is KRISTA PREWETT (FNP) located near Anaheim?
KRISTA PREWETT (FNP) currently maps to Anaheim, California in this extract.
Does KRISTA PREWETT (FNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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