KRISTIN MARIE PAZDERNIK (PMHNP-BC, MSN, RN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1164258703

KRISTIN MARIE PAZDERNIK (PMHNP-BC, MSN, RN) is a healthcare provider. based in Parker, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC, MSN, RN. They hold a License No. 1000073 (CO). The NPI Number for KRISTIN MARIE PAZDERNIK (PMHNP-BC, MSN, RN) is 1164258703

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN MARIE PAZDERNIK (PMHNP-BC, MSN, RN)
NPI
1164258703
Phone
(714) 402-0604
Address
5647 PALMIA LN
Enumeration Date
10 September 2024
Last Update Date
24 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7205074779
Graduation Year
2024 (2 years ago)
PAC ID
8729501812
Group Practice PAC ID
9032459656
Professional Enrollment ID
I20250330000063
Address ID
CO800118735AU14221AVEX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

Provider Addresses for KRISTIN MARIE PAZDERNIK (PMHNP-BC, MSN, RN)

  • 5647 PALMIA LN

    PARKER, CO 801346183

    Phone: (714) 402-0604

    Type: Mailing

  • 11027 S PIKES PEAK DR

    #202

    PARKER, CO 80138

    Phone: (720) 432-1222

    Type: Location

  • 2675 S Abilene St Ste 100

    Aurora, CO 800142363

    Phone: (720) 507-4779

    Fax: (833) 941-5047

    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 $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($21).

Total Amount

$35

General + Research + Ownership

Payments

2

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

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: 2025-03-30

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
I20250330000063INurse PractitionerCOTBD

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 80134)

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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: 9032459656View full group profile
NameSpecialtyState
-OK
Mental Health CounselorCO
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerVA
-CO

Reviews

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Frequently asked questions

What is the registry number for KRISTIN MARIE PAZDERNIK (PMHNP-BC, MSN, RN)?
The registry entry for KRISTIN MARIE PAZDERNIK (PMHNP-BC, MSN, RN) shows NPI 1164258703.
Does the public listing show KRISTIN MARIE PAZDERNIK (PMHNP-BC, MSN, RN) as active?
KRISTIN MARIE PAZDERNIK (PMHNP-BC, MSN, RN)'s NPI record reflects an active status in NPPES.
What does the directory say KRISTIN MARIE PAZDERNIK (PMHNP-BC, MSN, RN) does?
Insurance directories may phrase it differently, but here KRISTIN MARIE PAZDERNIK (PMHNP-BC, MSN, RN) maps to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to KRISTIN MARIE PAZDERNIK (PMHNP-BC, MSN, RN)?
KRISTIN MARIE PAZDERNIK (PMHNP-BC, MSN, RN) shows a connection to Parker, Colorado in registry-derived data.
Can I export KRISTIN MARIE PAZDERNIK (PMHNP-BC, MSN, RN)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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