Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gina Marie Kristiansen

Individual provider Family Nurse Practitioner · NPI 1851991947

Gina Marie Kristiansen is a Nurse Practitioner in Kingman, Arizona. Qualified in 2024, 2 years ago. Practices with Cook Family Practice Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Arizona and Texas.

Years since qualifying
2
Licensed in
AZ, TX
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

2331 Hualapai Mountain Rd Ste C
Kingman, AZ 86401-6207
Phone: (928) 565-6655
Fax: (928) 565-6578
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 306033 (AZ)
Women's Health Nurse Practitioner Taxonomy 363LW0102X · Licence 1014793 (TX)

Record details

NPI number1851991947
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 28, 2020
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Cook Family Practice Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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