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

Kristina Michelle Spooner, AG-ACNP

Individual provider Gerontology Nurse Practitioner · NPI 1134959539

Kristina Michelle Spooner, AG-ACNP is a Nurse Practitioner in Mesa, Arizona. Qualified in 2024, 2 years ago. Practices with Banner - University Hospital Based Physicians LLC, a 347-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

5207 E Delta Ave
Mesa, AZ 85206-2214
Phone: (928) 300-9379
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 310751 (AZ)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 310751 (AZ)

Record details

NPI number1134959539
Entity typeIndividual (Type 1)
GenderFemale
Credentials AG-ACNP
Sole proprietorYes
NPI enumeratedAugust 2, 2024
Last updated in NPPESAugust 2, 2024
Certification dateJuly 16, 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 Banner - University Hospital Based Physicians Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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