Mrs Kristina Marie Rae, DNP | |
3723 W 12600 S, Riverton, UT 84065-7295 | |
(801) 507-4384 | |
(801) 507-4398 |
Full Name | Mrs Kristina Marie Rae |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 3723 W 12600 S, Riverton, Utah |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700289287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 6611255-4405 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Riverton Hospital | Riverton, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
Utah Regional Hospitalists Llc | 4789807165 | 128 |
Entity Name | Ihc Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Entity Name | Utah Regional Hospitalists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962821223 PECOS PAC ID: 4789807165 Enrollment ID: O20140604000236 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kristina Marie Rae, DNP Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | Mrs Kristina Marie Rae, DNP 3723 W 12600 S, Riverton, UT 84065-7295 Ph: (801) 507-4384 |
Mr. Timothy S Garvey, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3741 W 12600 S, Outpatient Services, Riverton, UT 84065 Phone: 801-285-1285 | |
Jamie Camille Barker, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3723 W 12600 S Ste 430, Riverton, UT 84065 Phone: 801-322-3222 | |
Mekenna Andree Bermingham, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3723 W 12600 S Ste 330, Riverton, UT 84065 Phone: 801-285-4543 Fax: 801-285-4540 | |
Dustin Keith Jones, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1756 W Park Ave, Riverton, UT 84065 Phone: 801-254-0309 | |
Aubrey Rochelle George, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12391 S 4000 W, Riverton, UT 84096 Phone: 801-302-1700 | |
Kirsten Nelson, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1420 W 12600 S, Riverton, UT 84065 Phone: 801-254-4600 | |
Jessica Noel Wagner, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12828 S 3600 W Ste 101, Riverton, UT 84065 Phone: 480-316-2501 |