Look up the most recent NPI and PECOS records

Kristina Tiffany Mcmahon

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1173 S 250 W, Suite 101, St George, UT 84770-6392

PECOS Enrollment

This provider is enrolled in PECOS as KRISTINA MCMAHON.

Based on the most recent information from CMS, provider Kristina Tiffany Mcmahon is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 2:23 PM.

Profile Details

Provider ID
1053600171
Provider Type
Individual
Full Name
Mcmahon, Kristina Tiffany
Credential
APRN, FNP-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/29/2011
Last Updated
3/29/2011

Contact Information

Practice Location

1173 S 250 W, Suite 101, St George, UT 84770-6392

(435) 619-0519

Unlisted Fax

Mailing Location

30 E 200 N, La Verkin, UT 84745-5304

(435) 619-0519

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 372279-4405 Utah

Kristina Tiffany Mcmahon

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Bedke, Coalette

Higginson, Michon

Remer, Taylor Rae

Steed, Staci

Miner, Jennica Marlee

Melanie Reese Fnp Pllc

Hunter, Amber

Christensen, Jordan Michelle

Mccook, Nathaniel Thomas

Monson, Dean Kirk