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

Miss. Kristina N Vidrine, PA

Individual provider Physician Assistant · NPI 1629365408

Miss. Kristina N Vidrine, PA is a Physician Assistant in Marrero, Louisiana. Qualified in 2010, 16 years ago. Practices with Metairie Orthopedics and Sports Medicine, a 4-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
16
Licensed in
LA
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

920 Avenue B
Marrero, LA 70072-3112
Phone: (504) 349-6804
Fax: (504) 349-6844
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA200353 (LA)

Record details

NPI number1629365408
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 30, 2011
Last updated in NPPESJune 30, 2011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Metairie Orthopedics And Sports Medicine — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Marrero