KRISTOFER BRISTOL (CNP) – Family Nurse Practitioner, NPI 1134855034

KRISTOFER BRISTOL (CNP) is a healthcare provider. based in Eden prairie, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 9314 (MN). The NPI Number for KRISTOFER BRISTOL (CNP) is 1134855034

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
KRISTOFER BRISTOL (CNP)
NPI
1134855034
Phone
Not provided
Address
6452 CITY WEST PKWY
Enumeration Date
25 July 2022
Last Update Date
19 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529990333
Graduation Year
2022 (4 years ago)
PAC ID
9335519909
Group Practice PAC ID
7315266806
Professional Enrollment ID
I20221226000162
Address ID
MN553443245ED6452XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for KRISTOFER BRISTOL (CNP)

  • 6452 CITY WEST PKWY

    EDEN PRAIRIE, MN 553443245

    Phone:

    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: 2022-12-26

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
I20221226000162INurse PractitionerMNTBD

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 55344)

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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: 7315266806View full group profile
NameSpecialtyState
Physician AssistantMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
-MN
Nurse PractitionerMN
Nurse PractitionerMN
Family Practice, Pediatric MedicineMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

Does KRISTOFER BRISTOL (CNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KRISTOFER BRISTOL (CNP) uses 1134855034.
Does the file indicate KRISTOFER BRISTOL (CNP) is practicing under active NPI?
Directory data currently reports KRISTOFER BRISTOL (CNP) as active.
What healthcare role does KRISTOFER BRISTOL (CNP) hold?
Scheduling teams often label KRISTOFER BRISTOL (CNP) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is KRISTOFER BRISTOL (CNP) based?
KRISTOFER BRISTOL (CNP) is tied to Eden Prairie, Minnesota in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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