Kristen Peddycord, FNP-BC
NPI 1144704933ActiveIndividual· Nurse Practitioner, Family· Fort Mohave, AZ
Nurse Practitioner, Family (FNP-BC) in Fort Mohave, Arizona, licensed in AZ, with an NPI issued in September 2018. 231 Medicare patients in 2024, $22,972 paid; nearly all of their 495 Part D prescriptions were generic (96%).
Overview
| NPI | 1144704933 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-BC |
| Sole proprietor | Yes |
| NPI issued | Sep 18, 2018 |
| Last updated in NPPES | Mar 28, 2025 |
| Certified by provider | Mar 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | AP11814 | AZ |
| Nurse Practitioner | 363L00000X | AP11814 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (AZ); Practitioner - Nurse Practitioner (OK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 231 |
|---|---|
| Services billed | 284 across 21 procedure codes |
| Paid by Medicare | $22,972 |
Part D prescriptions in 2024
| Prescriptions (claims) | 495 · 499 30-day fills |
|---|---|
| Patients | 353 |
| Total drug cost | $5,282 |
| Generic share | 96% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 19 family nurse practitioners in Fort Mohave · All family nurse practitioners in Arizona