MRS. CHRISTINA CORINNE KIRKENDOLL (MSN, APRN, FNP-C) – Family Nurse Practitioner, NPI 1194237586
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MRS. CHRISTINA CORINNE KIRKENDOLL (MSN, APRN, FNP-C)
1937, Eastbrook Circle, Moberly, Randolph County, Missouri, 65270, United States
MOBERLY, MO 652702464
Phone: (660) 349-9432
Type: Mailing
Silva Lane, Moberly, Randolph County, Missouri, 65270, United States
MOBERLY, MO 652703600
Phone: (660) 263-7201
Type: Location
411 CENTRAL METHODIST SQ
FAYETTE, MO 652481198
Phone: (660) 248-6285
Fax: (660) 248-6266
Type: Mailing
PO BOX 271430
FORT COLLINS, CO 805271430
Phone: (970) 488-1640
Fax: (970) 472-9381
Type: Mailing
600 W MORRISON ST
FAYETTE, MO 652481471
Phone: (660) 248-2900
Type: Location
411 CENTRAL METHODIST SQ STE 1
FAYETTE, MO 652481198
Phone: (660) 248-2900
Type: Location
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: 2017-12-12
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 |
|---|---|---|---|---|
| I20171212002153 | I | Nurse Practitioner | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 65270)
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