Kristina Patrick, APN in Glendale, AZ - Medicare Nurse Practitioner

Kristina Patrick, APN is a medicare enrolled "Nurse Practitioner - Gerontology" in Glendale, Arizona. Her current practice location is 17500 N 67th Ave Apt 1032, Glendale, Arizona. You can reach out to her office (for appointments etc.) via phone at (815) 210-9291.

Kristina Patrick is licensed to practice in Arizona (license number 322668) 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 1821456864.

Contact Information

	Kristina Patrick, APN
	17500 N 67th Ave Apt 1032, Glendale, AZ 85308-1081
	(815) 210-9291
	Not Available

Map and Direction

Provider's Profile

Full Name	Kristina Patrick
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	17500 N 67th Ave Apt 1032, Glendale, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821456864
Provider Enumeration Date: 02/05/2016
Last Update Date: 09/22/2025

Medicare PECOS Information:

PECOS PAC ID: 3870845597
Enrollment ID: I20181009000004

Medical Identifiers

Medical identifiers for Kristina Patrick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821456864	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	322668 (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. Kristina Patrick allows following entities to bill medicare on her behalf.

Entity Name	Northwestern Medical Faculty Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541

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. Kristina Patrick 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
Kristina Patrick, APN 17500 N 67th Ave Apt 1032, Glendale, AZ 85308-1081 Ph: (815) 210-9291	Kristina Patrick, APN 17500 N 67th Ave Apt 1032, Glendale, AZ 85308-1081 Ph: (815) 210-9291

Reviews and Comments

Nurse Practitioner Nurses in Glendale, AZ

Mrs. Melanie Ann Nugent, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5310 W Thunderbird Rd Ste 301, Glendale, AZ 85306 Phone: 602-865-4442 Fax: 602-865-4507
Kaitlin Spivey, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7701 W Aspera Blvd, Glendale, AZ 85308 Phone: 623-248-2100
Ruth E Sanders, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5041 N 86th Dr, Glendale, AZ 85305 Phone: 866-389-2727 Fax: 612-659-7101
Ms. Christa L O'mara, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7701 W Aspera Blvd, Glendale, AZ 85308 Phone: 623-248-2108
Emma Louise Keltgen, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6975 W Glendale Ave, Glendale, AZ 85303 Phone: 602-243-7277 Fax: 602-286-0808
Joyce Kim, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6151-6153 W Olive Ave, Glendale, AZ 85302 Phone: 602-773-5546
Anthony James Shaw, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7190 W Fleetwood Ln, Glendale, AZ 85303 Phone: 602-568-8381

Kristina Patrick, APN - Medicare Nurse Practitioner in Glendale, AZ