KRISTIE KATHERINE TAMER (AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1679189393

KRISTIE KATHERINE TAMER (AGACNP-BC) is a healthcare provider. based in Los angeles, California. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. 95015018 (CA). The NPI Number for KRISTIE KATHERINE TAMER (AGACNP-BC) is 1679189393

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIE KATHERINE TAMER (AGACNP-BC)
NPI
1679189393
Phone
(310) 267-7740
Address
757 Westwood Plz
Enumeration Date
17 September 2020
Last Update Date
4 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083815970
Graduation Year
2020 (6 years ago)
PAC ID
0244650893
Group Practice PAC ID
4981878402
Professional Enrollment ID
I20250211001230
Address ID
ID837025511BO610XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for KRISTIE KATHERINE TAMER (AGACNP-BC)

  • 757 Westwood Plz

    Los Angeles, CA 900958358

    Phone: (310) 267-7740

    Type: Location

  • 4712 ADMIRALTY WAY # 710

    MARINA DEL REY, CA 902926905

    Phone:

    Type: Mailing

  • 757 WESTWOOD PLZ

    LOS ANGELES, CA 900958358

    Phone: (310) 267-7740

    Type: Location

  • 5767 W CENTURY BLVD STE 400

    LOS ANGELES, CA 900455631

    Phone:

    Type: Mailing

  • 190 E BANNOCK ST

    BOISE, ID 837126241

    Phone:

    Type: Mailing

  • 3525 E LOUISE DR STE 400

    MERIDIAN, ID 836426303

    Phone: (208) 322-1680

    Fax: (208) 884-3096

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $423.

Total Amount is formed as General ($423) + Research ($0) + Ownership ($0) = $423.

Last reported payment date: 2024-08-21 • Largest payer in this snapshot: ABIOMED ($423).

Total Amount

$423

General + Research + Ownership

Payments

4

Total payment records

General Amount

$423

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$423
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: 2025-02-11

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
I20250211001230INurse PractitionerIDTBD

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 90095)

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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: 4981878402View full group profile
NameSpecialtyState
Family PracticeME
Internal MedicineID
Family PracticeID
-TX
-OR
Hand SurgeryID
-ID
Nurse PractitionerID
General SurgeryID
Cardiovascular Disease (Cardiology), Cardiac Electrophysiology, Internal MedicineID

Reviews

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Frequently asked questions

What NPI should I save for KRISTIE KATHERINE TAMER (AGACNP-BC)?
Save NPI 1679189393 if you need a stable reference for KRISTIE KATHERINE TAMER (AGACNP-BC).
Is KRISTIE KATHERINE TAMER (AGACNP-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is KRISTIE KATHERINE TAMER (AGACNP-BC)?
The page reflects Acute Care Nurse Practitioner for KRISTIE KATHERINE TAMER (AGACNP-BC). Clinical services aligned with this taxonomy classification.
Does KRISTIE KATHERINE TAMER (AGACNP-BC) practice in California?
You will see Los Angeles, California on file for KRISTIE KATHERINE TAMER (AGACNP-BC) alongside any extra practice locations.
What if Los Angeles, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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