Kristofer Bristol, CNP in Eden Prairie, MN - Medicare Nurse Practitioner

Kristofer Bristol, CNP is a medicare enrolled "Nurse Practitioner - Family" in Eden Prairie, Minnesota. His current practice location is 6452 City West Pkwy, Eden Prairie, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 999-0333.

Kristofer Bristol is licensed to practice in Minnesota (license number 9314) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134855034.

Contact Information

	Kristofer Bristol, CNP
	6452 City West Pkwy, Eden Prairie, MN 55344-3245
	(952) 999-0333
	Not Available

Map and Direction

Provider's Profile

Full Name	Kristofer Bristol
Gender	Male
Speciality	Nurse Practitioner - Family
Location	6452 City West Pkwy, Eden Prairie, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134855034
Provider Enumeration Date: 07/25/2022
Last Update Date: 08/19/2022

Medicare PECOS Information:

PECOS PAC ID: 9335519909
Enrollment ID: I20221226000162

Medical Identifiers

Medical identifiers for Kristofer Bristol such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134855034	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	9314 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristofer Bristol allows following entities to bill medicare on his behalf.

Entity Name	New Kingdom Pediatrics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760816045 PECOS PAC ID: 7315266806 Enrollment ID: O20150505001812

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristofer Bristol is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kristofer Bristol, CNP 6452 City West Pkwy, Eden Prairie, MN 55344-3245 Ph: () -	Kristofer Bristol, CNP 6452 City West Pkwy, Eden Prairie, MN 55344-3245 Ph: (952) 999-0333

Reviews and Comments

Nurse Practitioner Nurses in Eden Prairie, MN

Meghan Maureen Davitt, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7595 Anagram Dr, Eden Prairie, MN 55344 Phone: 612-573-2200 Fax: 612-573-2274
Rachel Maguy Pierre, ARNP-FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11000 Optum Cir, Eden Prairie, MN 55344 Phone: 888-445-8745
Nimo Saleban Abdi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10067 Gristmill Rdg, Eden Prairie, MN 55347 Phone: 612-226-2747 Fax: 612-465-4884
Jill Marie Scholz, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7595 Anagram Dr, Eden Prairie, MN 55344 Phone: 612-573-2200 Fax: 612-573-2274
Katie L Seremet, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6452 City West Pkwy, Eden Prairie, MN 55344 Phone: 952-999-0333 Fax: 952-300-2558
Anne Hope, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7595 Anagram Dr, Eden Prairie, MN 55344 Phone: 612-573-2200 Fax: 612-573-2274

Kristofer Bristol, CNP - Medicare Nurse Practitioner in Eden Prairie, MN