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

Kristine A Weaver-Miller, PA

Individual provider Surgical Physician Assistant · NPI 1962459040

Kristine A Weaver-Miller, PA is a Physician Assistant in Prescott, Arizona. Qualified in 2001, 25 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Arizona, Colorado and Utah.

Years since qualifying
25
Licensed in
AZ, CO, UT
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

811 Ainsworth Dr Ste 109
Prescott, AZ 86301
Phone: (928) 771-5595
Fax: (928) 771-5596
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 294 W State Route 89a, Cottonwood, AZ 86326-3754 — (928) 634-1331
  • 294 W State Route 89a, Cottonwood, AZ 86326-3754 — (928) 634-1331
  • 1739 E Beverly Ave Ste 221, Kingman, AZ 86409-3593 — (928) 771-5595
  • 3262 N Windsong Dr Ste A, Prescott Valley, AZ 86314-2255 — (928) 771-5595

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4309 (AZ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 5179956-1205 (UT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 3135 (CO)

Record details

NPI number1962459040
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 27, 2006
Last updated in NPPESNovember 5, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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