Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristalle C Payano, PA-C

Individual provider Medical Physician Assistant · NPI 1366710436

Kristalle C Payano, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2011, 15 years ago. Practices with Summit Medical Group Arizona LLC, a 153-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
15
Licensed in
AZ
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

11034 N 23rd Dr # 105B
Phoenix, AZ 85029-4743
Phone: (602) 639-0189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 203 S Candy Ln Ste 14, Cottonwood, AZ 86326-4120 — (928) 639-3387
  • 18325 N Allied Way Ste 120, Phoenix, AZ 85054-3107 — (928) 776-0325
  • 830 Ainsworth Dr, Prescott, AZ 86301-1630 — (928) 776-0325
  • 2820 N Glassford Hill Rd Ste 107, Prescott Valley, AZ 86314-2256 — (928) 772-8553
  • 347 Mount Pleasant Ave, West Orange, NJ 07052-2744 — (973) 571-2121

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 7218 (AZ)

Record details

NPI number1366710436
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 5, 2011
Last updated in NPPESFebruary 12, 2020
Certification dateFebruary 12, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Summit Medical Group Arizona Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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