KRISTINE HOLLY FROST (PA-C) – Physician Assistant, NPI 1093771446
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KRISTINE HOLLY FROST (PA-C)
Revere Health, 1055, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States
PROVO, UT 846043305
Phone: (801) 375-8858
Fax: (801) 418-0941
Type: Mailing
8211, 3500 South, Magna, Salt Lake County, Utah, 84044, United States
MAGNA, UT 84044
Phone: (801) 250-9638
Fax: (801) 250-3204
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-10-09
PECOS data refreshed: 2026-05-27
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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 84604)
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