Kristen Peddycord, FNP-BC - Medicare Nurse Practitioner in Fort Mohave, AZ

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Kristen Peddycord, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Fort Mohave, Arizona. Her current practice location is 5330 S Highway 95, Fort Mohave, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 788-2273.

Kristen Peddycord is licensed to practice in Arizona (license number AP11814) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144704933.

Contact Information

Kristen Peddycord, FNP-BC
5330 S Highway 95,
Fort Mohave, AZ 86426-9225
(928) 788-2273
Not Available

Map and Direction




Provider's Profile

Full NameKristen Peddycord
GenderFemale
SpecialityNurse Practitioner - Family
Location5330 S Highway 95, Fort Mohave, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144704933
  • Provider Enumeration Date: 09/18/2018
  • Last Update Date: 03/28/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6002153640
  • Enrollment ID: I20190121001294

Medical Identifiers

Medical identifiers for Kristen Peddycord such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144704933NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner AP11814 (Arizona)Secondary
363LF0000XNurse Practitioner - Family AP11814 (Arizona)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. Kristen Peddycord allows following entities to bill medicare on her behalf.
Entity NameDesert Palms Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467509372
PECOS PAC ID: 8820073133
Enrollment ID: O20040621001904
Entity NameEmergency Physicians Southwest Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912053752
PECOS PAC ID: 2264538529
Enrollment ID: O20070502000382
Entity NameNes Arizona Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205217700
PECOS PAC ID: 2163737206
Enrollment ID: O20150818005113
Entity NameExceptional Physician Group Arizona, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447910229
PECOS PAC ID: 0042605008
Enrollment ID: O20220310000502
Entity NameExceptional Physicians Group Yuma Hospital Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235857699
PECOS PAC ID: 3173983186
Enrollment ID: O20230721000455
Entity NameExceptional Physicians Group Bullhead City Hospital Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518732023
PECOS PAC ID: 9335599604
Enrollment ID: O20231228002414

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. Kristen Peddycord 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 AddressPractice Location Address
Kristen Peddycord, FNP-BC
3735 Hway 95,
Bullhead City, AZ 86442-8199

Ph: (928) 444-1444		Kristen Peddycord, FNP-BC
5330 S Highway 95,
Fort Mohave, AZ 86426-9225

Ph: (928) 788-2273

Reviews and Comments


Nurse Practitioner Nurses in Fort Mohave, AZ

Mr. Ian Lloyd Ruiz Baccay, RN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5263 S Highway 95 , Fort Mohave, Az 86426, Fort Mohave, AZ 86426
Phone: 928-704-6400    
Dilyara Cannon,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5653 S Highway 95, Ste A, Fort Mohave, AZ 86426
Phone: 928-768-2558    Fax: 928-768-2874
Deborah Ann Hughson, RNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5263 Hwy 95, Fort Mohave, AZ 86426
Phone: 928-704-6400    Fax: 928-768-1150
Theresa Marin, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1611 E Joy Ln, Fort Mohave, AZ 86426
Phone: 928-788-8000    
Mr. Larry Lee Bousquet Ii, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1611 E Joy Ln # 1, Fort Mohave, AZ 86426
Phone: 928-768-9496    Fax: 928-768-1943
Annie Marie Rodman, MSN/FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1510 E Wagon Wheel Ln, Suite 106, Fort Mohave, AZ 86426
Phone: 928-788-9378    Fax: 928-788-9381

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.