KRISTIN LYNN CHILDRESS (M.D.) – Endocrinology, Diabetes & Metabolism Physician, NPI 1356608046

KRISTIN LYNN CHILDRESS (M.D.) is a healthcare provider. based in North las vegas, Nevada. specializing in ENDOCRINOLOGY. They hold the professional credentials M.D.. They hold a License No. MD219031 (OR). The NPI Number for KRISTIN LYNN CHILDRESS (M.D.) is 1356608046

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN LYNN CHILDRESS (M.D.)
NPI
1356608046
Phone
(702) 791-9000
Address
6900 N PECOS RD
Enumeration Date
18 April 2012
Last Update Date
17 June 2024

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5034948311
Graduation Year
2012 (14 years ago)
PAC ID
0143588590
Group Practice PAC ID
4880760107
Professional Enrollment ID
I20240409004502
Address ID
OR972393011PO3181XRDXX600
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

77 ENDOCRINOLOGY in NV

Provider Addresses for KRISTIN LYNN CHILDRESS (M.D.)

  • 6900 N PECOS RD

    NORTH LAS VEGAS, NV 890864400

    Phone: (702) 791-9000

    Type: Mailing

  • 3181 SW SAM JACKSON PARK RD

    PORTLAND, OR 972393011

    Phone: (503) 494-3273

    Fax: (503) 418-2208

    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: 2024-04-09

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
I20240409004502IEndocrinologyORTBD

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 89086)

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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: 4880760107View full group profile

Reviews

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Frequently asked questions

Can I verify KRISTIN LYNN CHILDRESS (M.D.) with an NPI only?
You can start verification with NPI 1356608046 for KRISTIN LYNN CHILDRESS (M.D.), then check state licensing separately.
Does the file indicate KRISTIN LYNN CHILDRESS (M.D.) is practicing under active NPI?
Directory data currently reports KRISTIN LYNN CHILDRESS (M.D.) as active.
What is KRISTIN LYNN CHILDRESS (M.D.)'s specialty?
The listing groups KRISTIN LYNN CHILDRESS (M.D.) with Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
What address line appears for KRISTIN LYNN CHILDRESS (M.D.)?
KRISTIN LYNN CHILDRESS (M.D.)'s geographic hint is North Las Vegas, Nevada in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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