KRISTIN KAYELYNN LIGHT FNP-BC
NPI 1134967649
Nurse Practitioner in Marinette, WI

Q: What is Kristin Light's NPI number?

The NPI number for Kristin Light is 1134967649. It was assigned to this individual provider in the NPPES registry on July 18, 2024.

Q: What is Kristin Light's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristin Light was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 18, 2024PECOS Enrolled

2820 ROOSEVELT RD, MARINETTE, WI 54143(715) 735-5225 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kristin Kayelynn Light Fnp-bc NPPES

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

KRISTIN KAYELYNN LIGHT FNP-BC (NPI 1134967649) is an individual nurse practitioner in Marinette, Wisconsin, licensed in Wisconsin (15618-33) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134967649

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKRISTIN KAYELYNN LIGHTCredential: FNP-BC

Location Address2820 ROOSEVELT RDMarinette, WI 54143-3833

Mailing Address2820 Roosevelt RdMarinette, WI 54143-3833 · (715) 735-5225

Phone(715) 735-5225

Sole ProprietorNo

Enumeration DateJuly 18, 2024

NPPES CertifiedJuly 18, 2024

✔ NPI 1134967649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in WI · 15618-33✔ Licensed in MI · 4704349153

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 4704349153 (MI), 15618-33 (WI)

2820 ROOSEVELT RD, Marinette, WI 54143

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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)

Kristin Kayelynn Light Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 54143 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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