MRS. KRISTIN PASS (P.A.) – Physician Assistant, NPI 1750796561

MRS. KRISTIN PASS (P.A.) is a healthcare provider. based in Acworth, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 7170 (GA). The NPI Number for MRS. KRISTIN PASS (P.A.) is 1750796561

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KRISTIN PASS (P.A.)
NPI
1750796561
Phone
(678) 574-5678
Address
3451 COBB PKWY NW
Enumeration Date
1 July 2014
Last Update Date
24 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4042314231
Graduation Year
2014 (12 years ago)
PAC ID
9234454240
Group Practice PAC ID
6002802220
Professional Enrollment ID
I20150216001216
Address ID
GA303193021AT4062XRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for MRS. KRISTIN PASS (P.A.)

  • 3451 COBB PKWY NW

    SUITE 4

    ACWORTH, GA 301015766

    Phone: (678) 574-5678

    Fax: (678) 574-5605

    Type: Mailing

  • 35 COLLIER RD NW STE 775

    ATLANTA, GA 303091608

    Phone: (404) 350-1122

    Type: Location

  • 3451 Cobb Pkwy NW

    Suite 4

    Acworth, GA 301015766

    Phone: (678) 574-5678

    Fax: (678) 574-5605

    Type: Location

  • PO BOX 102321

    ATLANTA, GA 303682321

    Phone:

    Type: Mailing

  • 105 COLLIER RD NW STE 2000

    ATLANTA, GA 303091734

    Phone: (404) 350-1122

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 165 Open Payments records for all available years, with a total value of $3,197.

Total Amount is formed as General ($3,197) + Research ($0) + Ownership ($0) = $3,197.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Lilly USA, LLC ($465).

Total Amount

$3,197

General + Research + Ownership

Payments

165

Total payment records

General Amount

$3,197

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2015-02-16

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
I20150216001216IPhysician AssistantGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes148122$0
36415Insertion of needle into vein for collection of blood sample126100$0
99213Established patient office or other outpatient visit, 20-29 minutes10789$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3636$0
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use2020$0
View full utilization report →

Insurance plans in this area (ZIP 30101)

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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: 6002802220View full group profile

Reviews

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Frequently asked questions

How do I look up MRS. KRISTIN PASS (P.A.) by NPI?
Use NPI 1750796561 when you need to reference MRS. KRISTIN PASS (P.A.) in forms, claims, or directories.
Does this profile mean MRS. KRISTIN PASS (P.A.) is currently active?
Yes — MRS. KRISTIN PASS (P.A.) appears active in the national provider directory.
Can you summarize MRS. KRISTIN PASS (P.A.)'s specialty in plain language?
Clinically, the directory lists MRS. KRISTIN PASS (P.A.) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place MRS. KRISTIN PASS (P.A.)?
The snapshot lists Acworth, Georgia for MRS. KRISTIN PASS (P.A.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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