Individual ProviderKristen OrtizNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3705 Medical Pkwy Ste 200, Austin, TX 78705-1027(512) 324-2720PECOS EnrollmentBased on the most recent information from CMS, provider Kristen Ortiz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1710599105Provider TypeIndividualFull NameOrtiz, KristenCredentialAPRN, FNP-CGenderFemaleSole ProprietorNoEnumeration Date8/18/2020Last Updated11/4/2020Contact InformationPractice LocationPractice Address3705 Medical Pkwy Ste 200, Austin, TX 78705-1027Phone(512) 324-2720FaxUnlisted FaxMailing LocationMailing Address3705 Medical Pkwy Ste 200, Austin, TX 78705-1027Phone(512) 324-2720FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense1008148Texas