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

Kristina Reavis, APN

Individual provider Family Nurse Practitioner · NPI 1992327217

Kristina Reavis, APN is a Nurse Practitioner in Pueblo, Colorado. Qualified in 2019, 7 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
7
Licensed in
CO
In the registry since
2020
Specialties on file
2
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

400 W 16th St
Pueblo, CO 81003-2781
Phone: (719) 659-8141
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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 995088 (CO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 995088 (CO)

Record details

NPI number1992327217
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedMay 8, 2020
Last updated in NPPESMay 8, 2020
Certification dateMay 8, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pueblo