KRISTEN M AZZINARO – Clinical Social Worker, NPI 1013671056

KRISTEN M AZZINARO is a healthcare provider. based in Port huron, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 6801097330 (MI). The NPI Number for KRISTEN M AZZINARO is 1013671056

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN M AZZINARO
NPI
1013671056
Phone
(810) 985-8900
Address
3111 ELECTRIC AVE
Enumeration Date
26 October 2021
Last Update Date
26 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8109858900
Graduation Year
2004 (22 years ago)
PAC ID
2567853849
Group Practice PAC ID
7416861984
Professional Enrollment ID
I20211221000990
Address ID
MI480608127PO3111XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

4,820 CLINICAL SOCIAL WORKER in MI

Provider Addresses for KRISTEN M AZZINARO

  • 3111 ELECTRIC AVE

    PORT HURON, MI 480608127

    Phone: (810) 985-8900

    Mailing address matches the actual address.

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: 2021-12-21

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
I20211221000990IClinical Social WorkerMITBD

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
90837Psychotherapy, 1 hour4812$0
View full utilization report →

Insurance plans in this area (ZIP 48060)

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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: 7416861984View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
-MI
-MI
Nurse PractitionerMI
Clinical Social WorkerMI
P S Y C H I A T R YMI
P S Y C H I A T R YMI
Mental Health CounselorMI

Reviews

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Frequently asked questions

Where can patients find KRISTEN M AZZINARO's NPI?
You can confirm KRISTEN M AZZINARO with NPI 1013671056; it appears in the national provider directory.
Is KRISTEN M AZZINARO active in the national directory?
KRISTEN M AZZINARO's public NPI profile is in an active state.
Does KRISTEN M AZZINARO list a primary specialty?
If you are matching referrals, note Clinical Social Worker for KRISTEN M AZZINARO. Clinical services aligned with this taxonomy classification.
Does KRISTEN M AZZINARO practice in Michigan?
You will see Port Huron, Michigan on file for KRISTEN M AZZINARO alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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3111 ELECTRIC AVE
NPI: 1649288879