KRISTINA LOUISE ELLIS (PA-C) – Surgical Physician Assistant, NPI 1104440585
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
892 PHYSICIAN ASSISTANT in NM
Provider Addresses for KRISTINA LOUISE ELLIS (PA-C)
2211 LOMAS BLVE NE
ALBUQUERQUE, NM 871310001
Phone: (505) 272-0621
Type: Mailing
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 871062719
Phone: (505) 272-0621
Type: Location
4100 LAKE OTIS PKWY STE 320
ANCHORAGE, AK 995085231
Phone: (907) 563-4810
Fax: (907) 563-4811
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $1,247.
Total Amount is formed as General ($1,247) + Research ($0) + Ownership ($0) = $1,247.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Lundbeck LLC ($262).
Total Amount
$1,247
General + Research + Ownership
Payments
25
Total payment records
General Amount
$1,247
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lundbeck LLC | $262 |
| ABBVIE INC. | $231 |
| PFIZER INC. | $193 |
| Neurelis, Inc. | $125 |
| Eisai Inc. | $120 |
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: 2023-03-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230314002263 | I | Physician Assistant | AK | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 54 | 49 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 43 | 39 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 30 | 30 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 14 | 13 | $0 |
Insurance plans in this area (ZIP 87131)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AK | |
| Nurse Practitioner | AK | |
| N E U R O L O G Y | AK | |
| - | AK | |
| Nurse Practitioner | AK | |
| Nurse Practitioner | AK | |
| Sleep Medicine, Neurology | CA | |
| Internal Medicine, Sleep Medicine | AK | |
| Neurology, Sleep Medicine | AK |
Reviews
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