KRISTTI LEI BIRONDO TAN (AGNP-BC) – Gerontology Nurse Practitioner, NPI 1679175236

KRISTTI LEI BIRONDO TAN (AGNP-BC) is a healthcare provider. based in Nashville, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP-BC. They hold a License No. 1014530 (TX). The NPI Number for KRISTTI LEI BIRONDO TAN (AGNP-BC) is 1679175236

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KRISTTI LEI BIRONDO TAN (AGNP-BC)
NPI
1679175236
Phone
(615) 866-9040
Address
3320 PERIMETER HILL DR
Enumeration Date
9 November 2020
Last Update Date
16 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6787023376
Graduation Year
2020 (6 years ago)
PAC ID
4486992971
Group Practice PAC ID
1658680764
Professional Enrollment ID
I20250305000400
Address ID
GA301357542DO4645XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:5State licenses:3Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for KRISTTI LEI BIRONDO TAN (AGNP-BC)

  • 3320 PERIMETER HILL DR

    NASHVILLE, TN 372114123

    Phone: (615) 866-9040

    Fax: (615) 750-5756

    Type: Mailing

  • 2004 HAYES ST STE 655

    NASHVILLE, TN 372032656

    Phone: (615) 866-9040

    Fax: (615) 750-5756

    Type: Location

  • PO BOX 746079

    ATLANTA, GA 303746079

    Phone:

    Type: Mailing

  • 3320 Perimeter Hill Dr

    Nashville, TN 372114123

    Phone: (615) 866-9040

    Fax: (615) 750-5756

    Type: Location

  • 4115 E LANCASTER AVE

    FORT WORTH, TX 761033614

    Phone: (817) 369-8526

    Type: Location

  • 4645 TIMBER RIDGE DR STE 100

    DOUGLASVILLE, GA 301357542

    Phone: (678) 702-3376

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $159.

Total Amount is formed as General ($159) + Research ($0) + Ownership ($0) = $159.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: ABBVIE INC. ($92).

Total Amount

$159

General + Research + Ownership

Payments

6

Total payment records

General Amount

$159

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-03-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230117000869INurse PractitionerTNTBD
I20250305000400INurse PractitionerGATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes33566$0
80307Testing for presence of drug, by chemistry analyzers8742$0
G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms7349$0
80305Testing for presence of drug, read by direct observation3327$0
99214Established patient office or other outpatient visit, 30-39 minutes1714$0
View full utilization report →

Insurance plans in this area (ZIP 37211)

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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: 1658680764View full group profile
NameSpecialtyState
Dermatology, Micrographic Dermatologic Surgery (Mds)FL
Physician AssistantGA
D E R M A T O L O G YGA
-AL
Nurse PractitionerGA
-GA
Physician AssistantGA
Pathology, DermatologyGA
D E R M A T O L O G YGA
Physician AssistantGA

Reviews

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Frequently asked questions

Can I cross-check KRISTTI LEI BIRONDO TAN (AGNP-BC) using NPI 1679175236?
NPI 1679175236 belongs to KRISTTI LEI BIRONDO TAN (AGNP-BC); compare other details if you need extra assurance.
Is KRISTTI LEI BIRONDO TAN (AGNP-BC) shown as active in public data?
Registry records indicate KRISTTI LEI BIRONDO TAN (AGNP-BC) maintains an active NPI.
How would a patient describe KRISTTI LEI BIRONDO TAN (AGNP-BC)'s focus?
For KRISTTI LEI BIRONDO TAN (AGNP-BC), the primary taxonomy reads as Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KRISTTI LEI BIRONDO TAN (AGNP-BC) associated with Nashville?
Public fields place KRISTTI LEI BIRONDO TAN (AGNP-BC) around Nashville, Tennessee. Always confirm the exact site before visiting.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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