Krysten Provencio
NPI 1770350761 · Physician Assistant · Goodyear, AZ
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Krysten Provencio is a Physician Assistant provider in Goodyear, AZ (NPI 1770350761).
Provider details
- NPI number
- 1770350761
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
2 yrs in NPPES registry
- Profile completeness33% of score
83% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$22 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 7612 N Lundberg DrTucson, AZ 85741-1751Phone: (928) 322-2714
Registry dates
- Enumerated
- 2023-12-08
- Last updated
- 2024-10-09
- Certified
- 2024-10-09
Frequently asked questions
- What is Krysten Provencio's NPI number?
- Krysten Provencio's National Provider Identifier (NPI) is 1770350761, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Krysten Provencio's specialty?
- Krysten Provencio is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Krysten Provencio located?
- Krysten Provencio's practice location on file with NPPES is 13555 W Mcdowell Rd Ste 200, Goodyear, AZ 85395-2624.
- What is Krysten Provencio's phone number?
- The practice phone number listed in the NPPES registry for Krysten Provencio is (480) 756-6000.
- Does Krysten Provencio accept Medicare?
- Krysten Provencio is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Krysten Provencio's NPI active?
- Yes — Krysten Provencio's NPI (1770350761) is active in the NPPES registry as of the last update on 2024-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.