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

Kristopher Montgomery Dobson, ACNPC-AG

Individual provider Nurse Practitioner · NPI 1073358677

Kristopher Montgomery Dobson, ACNPC-AG is a Nurse Practitioner in Scottsdale, Arizona. Qualified in 2023, 3 years ago. Practices with Banner - University Hospital Based Physicians LLC, a 347-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2024
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Practice location Address checks out

13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone: (480) 301-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 310259 (AZ)

Record details

NPI number1073358677
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNPC-AG
Sole proprietorNo
NPI enumeratedJune 26, 2024
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Banner - University Hospital Based Physicians Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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