MRS. KRISTAN THURBER – Physician Assistant, NPI 1689304628

MRS. KRISTAN THURBER is a healthcare provider. based in Idaho falls, Idaho. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA-2690 (ID). The NPI Number for MRS. KRISTAN THURBER is 1689304628

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KRISTAN THURBER
NPI
1689304628
Phone
(208) 351-2945
Address
1896 Jeppson Ave
Enumeration Date
13 June 2022
Last Update Date
30 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2023 (3 years ago)
PAC ID
6204272792
Group Practice PAC ID
7719221068
Professional Enrollment ID
I20250515000526
Address ID
OR974017925Eu74XXXLOOP401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,531 PHYSICIAN ASSISTANT in ID

Provider Addresses for MRS. KRISTAN THURBER

  • 1896 Jeppson Ave

    Idaho Falls, ID 834046158

    Phone: (208) 351-2945

    Type: Location

  • 921 S 8TH AVE STOP 8253

    POCATELLO, ID 832090002

    Phone: (208) 282-4726

    Type: Mailing

  • 74B CENTENNIAL LOOP STE 300

    EUGENE, OR 974017925

    Phone: (208) 351-2945

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-05-15

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
I20250515000526IPhysician AssistantORTBD

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 83404)

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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: 7719221068View full group profile
NameSpecialtyState
Orthopedic SurgeryFL
-OR
Physician AssistantOR
N E U R O S U R G E R YOR
Physician AssistantTX

Reviews

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Frequently asked questions

Is MRS. KRISTAN THURBER listed with a National Provider Identifier?
Yes — MRS. KRISTAN THURBER has NPI 1689304628 on file in the registry.
Is MRS. KRISTAN THURBER shown as active in public data?
Registry records indicate MRS. KRISTAN THURBER maintains an active NPI.
What kind of doctor is MRS. KRISTAN THURBER?
MRS. KRISTAN THURBER is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is MRS. KRISTAN THURBER located near Idaho Falls?
MRS. KRISTAN THURBER currently maps to Idaho Falls, Idaho in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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