KRISTA RENEE BENDAVID (PA-C) – Physician Assistant, NPI 1568819902

KRISTA RENEE BENDAVID (PA-C) is a healthcare provider. based in Boston, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 3158 (OK). The NPI Number for KRISTA RENEE BENDAVID (PA-C) is 1568819902

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KRISTA RENEE BENDAVID (PA-C)
NPI
1568819902
Phone
(617) 732-5500
Address
75 FRANCIS ST
Enumeration Date
16 May 2016
Last Update Date
24 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6177325500
Graduation Year
2016 (10 years ago)
PAC ID
4789965500
Group Practice PAC ID
3870405988
Professional Enrollment ID
I20170110000061
Address ID
MA021156110BO75XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:10State licenses:3Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for KRISTA RENEE BENDAVID (PA-C)

  • 75 FRANCIS ST

    BOSTON, MA 021156110

    Phone: (617) 732-5500

    Type: Mailing

  • 1 Hospital Rd

    Oak Bluffs, MA 025571406

    Phone: (508) 693-0410

    Type: Location

  • 6161 S Yale Ave

    Tulsa, OK 741361902

    Phone: (918) 494-1805

    Fax: (918) 494-4573

    Type: Location

  • 75 Francis St

    Boston, MA 021156110

    Phone: (617) 732-5500

    Type: Location

  • South Yale Avenue, Braden Park, Tulsa, Tulsa County, Oklahoma, 74137, United States

    TULSA, OK 741363331

    Phone:

    Type: Mailing

  • Saint Francis Hospital, 6161, South Yale Avenue, Warrenton, Tulsa, Tulsa County, Oklahoma, 74136, United States

    TULSA, OK 741361902

    Phone: (918) 494-1805

    Fax: (918) 494-4573

    Type: Location

  • 1945 STATE ROUTE 33 FL 4

    NEPTUNE, NJ 077534859

    Phone: (732) 776-4949

    Fax: (732) 776-4509

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2023-09-07 • Largest payer in this snapshot: ATRICURE, INC. ($38).

Total Amount

$38

General + Research + Ownership

Payments

1

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ATRICURE, INC.$38
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: 2025-11-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20170110000061IPhysician AssistantMATBD
I20200227002055IPhysician AssistantOKTBD
I20251106001440IPhysician AssistantNJTBD

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 02115)

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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: 3870405988View full group profile
NameSpecialtyState
N E U R O S U R G E R YMD
-MA
Critical Care (Intensivists), Pulmonary DiseaseFL
Physician AssistantMA
N E U R O L O G YMA
Nurse PractitionerMA
Orthopedic SurgeryMA
Physician AssistantNH
Nurse PractitionerMA
P A T H O L O G YMA

Reviews

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Frequently asked questions

What federal number belongs to KRISTA RENEE BENDAVID (PA-C)?
The federal identifier for KRISTA RENEE BENDAVID (PA-C) is NPI 1568819902.
Does this profile mean KRISTA RENEE BENDAVID (PA-C) is currently active?
Yes — KRISTA RENEE BENDAVID (PA-C) appears active in the national provider directory.
What kind of provider is KRISTA RENEE BENDAVID (PA-C)?
The page reflects Physician Assistant for KRISTA RENEE BENDAVID (PA-C). Clinical services aligned with this taxonomy classification.
Does KRISTA RENEE BENDAVID (PA-C) practice in Massachusetts?
You will see Boston, Massachusetts on file for KRISTA RENEE BENDAVID (PA-C) alongside any extra practice locations.
Is KRISTA RENEE BENDAVID (PA-C) a real provider?
This page reflects official NPPES data for NPI 1568819902. Always confirm identity and privileges with the practice and licensing boards.