MS. KRISTYN BRIELLE CORDOVA – Family Nurse Practitioner, NPI 1891289229

MS. KRISTYN BRIELLE CORDOVA is a healthcare provider. based in Rio rancho, New Mexico. specializing in NURSE PRACTITIONER. They hold a License No. CNP-03612 (NM). The NPI Number for MS. KRISTYN BRIELLE CORDOVA is 1891289229

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MS. KRISTYN BRIELLE CORDOVA
NPI
1891289229
Phone
(505) 485-4740
Address
401 8TH ST NE
Enumeration Date
19 June 2018
Last Update Date
19 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5058283000
Graduation Year
2018 (8 years ago)
PAC ID
2860740149
Group Practice PAC ID
9638218803
Professional Enrollment ID
I20180802001225
Address ID
NM871142407AL10601NWXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,378 NURSE PRACTITIONER in NM

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Provider Addresses for MS. KRISTYN BRIELLE CORDOVA

  • 401, 8th Street Northeast, Rio Rancho, Sandoval County, New Mexico, 87124, United States

    RIO RANCHO, NM 871240502

    Phone: (505) 485-4740

    Type: Mailing

  • 8800, Montgomery Boulevard Northeast, Albuquerque, Bernalillo County, New Mexico, 87111, United States

    ALBUQUERQUE, NM 871112310

    Phone: (505) 462-6400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $673.

Total Amount is formed as General ($673) + Research ($0) + Ownership ($0) = $673.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Philips North America LLC ($122).

Total Amount

$673

General + Research + Ownership

Payments

33

Total payment records

General Amount

$673

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

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: 2018-08-02

PECOS data refreshed: 2026-06-15

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
I20180802001225INurse PractitionerNMTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes14495$0
99443Telephone medical discussion with physician, 21-30 minutes4333$0
99215Established patient office or other outpatient visit, 40-54 minutes4237$0
99204New patient office or other outpatient visit, 45-59 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 87124)

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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: 9638218803View full group profile
NameSpecialtyState
Nurse PractitionerNM
Cardiovascular Disease (Cardiology)NM

Reviews

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Frequently asked questions

Can I cross-check MS. KRISTYN BRIELLE CORDOVA using NPI 1891289229?
NPI 1891289229 belongs to MS. KRISTYN BRIELLE CORDOVA; compare other details if you need extra assurance.
Would MS. KRISTYN BRIELLE CORDOVA appear as active to a payer?
You can treat MS. KRISTYN BRIELLE CORDOVA as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MS. KRISTYN BRIELLE CORDOVA?
At a glance, MS. KRISTYN BRIELLE CORDOVA is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MS. KRISTYN BRIELLE CORDOVA?
Travel planning: use Rio Rancho, New Mexico as the reference point for MS. KRISTYN BRIELLE CORDOVA, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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