KRISTEN COFFMAN PMHNP
NPI 1104312420
Nurse Practitioner - Psychiatric/Mental Health in Little Rock, AR

Q: What is Kristen Coffman's NPI number?

The NPI number for Kristen Coffman is 1104312420. It was assigned to this individual provider in the NPPES registry on July 10, 2018.

Q: What is Kristen Coffman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kristen Coffman was last updated on July 10, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 10, 2018PECOS Enrolled

400 HARDIN RD STE 150, LITTLE ROCK, AR 72211(501) 603-2147(501) 603-0204 Get Directions Write a Review

NPPES record last updated: July 10, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kristen Coffman Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTEN COFFMAN PMHNP (NPI 1104312420) is an individual psychiatric/mental health provider in Little Rock, Arkansas, licensed in Arkansas (ATP-001331) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1104312420

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKRISTEN COFFMANCredential: PMHNP

Location Address400 HARDIN RD STE 150Little Rock, AR 72211-3507

Mailing Address400 Hardin Rd Ste 150Little Rock, AR 72211-3507 · (501) 603-2147 · Fax (501) 603-0204

Phone(501) 603-2147

Fax(501) 603-0204

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 10, 2018

✔ NPI 1104312420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in AR · ATP-001331

400 HARDIN RD STE 150, Little Rock, AR 72211

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristen Coffman Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719317445

PECOS Enrollment IDI20200421002612

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKEISHA FERRELL LCSW

Social Worker