CHRISTINA MORAN KITCHEN (FNP) – Family Nurse Practitioner, NPI 1679742258

CHRISTINA MORAN KITCHEN (FNP) is a healthcare provider. based in Idaho falls, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 24423.0895 (WY). The NPI Number for CHRISTINA MORAN KITCHEN (FNP) is 1679742258

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINA MORAN KITCHEN (FNP)
NPI
1679742258
Phone
(307) 734-1201
Address
PO BOX 3306
Enumeration Date
27 February 2008
Last Update Date
14 April 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3077341005
Graduation Year
2006 (20 years ago)
PAC ID
1254406895
Group Practice PAC ID
2466541693
Professional Enrollment ID
I20080818000253
Address ID
WY830015550JA555XXBROA301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

596 NURSE PRACTITIONER in WY

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Provider Addresses for CHRISTINA MORAN KITCHEN (FNP)

  • PO BOX 3306

    IDAHO FALLS, ID 834033306

    Phone: (307) 734-1201

    Fax: (307) 734-1165

    Type: Mailing

  • 555, Broadway Avenue, Woodland Hills, Jackson, Hinds County, Mississippi, 39216, United States

    SUITE 108

    JACKSON, WY 830018640

    Phone: (307) 734-1005

    Fax: (307) 734-1165

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $119.

Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.

Last reported payment date: 2024-05-22 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($38).

Total Amount

$119

General + Research + Ownership

Payments

6

Total payment records

General Amount

$119

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-22

Latest reported date

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: 2008-08-18

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
I20080818000253INurse PractitionerWYTBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination2222$0
99213Established patient office or other outpatient visit, 20-29 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 83403)

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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: 2466541693View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YWY
O B S T E T R I C S/ G Y N E C O L O G YWY

Reviews

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Frequently asked questions

How do payers reference CHRISTINA MORAN KITCHEN (FNP)?
For CHRISTINA MORAN KITCHEN (FNP), use NPI 1679742258 as the unique 10-digit identifier.
Is CHRISTINA MORAN KITCHEN (FNP) shown as active in public data?
Registry records indicate CHRISTINA MORAN KITCHEN (FNP) maintains an active NPI.
What kind of doctor is CHRISTINA MORAN KITCHEN (FNP)?
CHRISTINA MORAN KITCHEN (FNP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with CHRISTINA MORAN KITCHEN (FNP)?
Directory geography for CHRISTINA MORAN KITCHEN (FNP) centers on Idaho Falls, Idaho.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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