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

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: October 25, 2026.

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 Aspirus Health Plan, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kristin Light reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oconto Hospital & Medical Center Inc
Same address
Rural Health
2820 ROOSEVELT ROAD
Marinette, WI 54143
  • Reassigned Medicare billing, Wisconsin enrollment
  • 573 clinicians in this Medicare group
NPI 1528412673 (920) 445-7226
Bellin Memorial Hospital Inc
1.6 mi
Physical Medicine & Rehabilitation
3905 HALL AVE
Marinette, WI 54143
  • Reassigned Medicare billing, Wisconsin and Michigan enrollments
  • Also billed through NPI 1033172390 (Michigan)
  • 875 clinicians in this Medicare group
NPI 1285696823 (920) 445-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

SAMANTHA JEAN SHALLOW
Physical Therapist
2820 ROOSEVELT RD
MARINETTE, WI 54143
Marinette County (920) 430-4880
CHAD T MEYER OT
Occupational Therapist
2820 ROOSEVELT RD
MARINETTE, WI 54143
Marinette County (715) 735-5225
BRIAN L PETERSON DPT
Physical Therapist
2820 ROOSEVELT RD
MARINETTE, WI 54143
Marinette County (715) 735-5225
OCONTO HOSPITAL & MEDICAL CENTER, INC.
Clinic/Center
2820 ROOSEVELT RD
MARINETTE, WI 54143
Marinette County (715) 735-5225
VANESSA VICTORIA VINCENT RD
Dietitian, Registered
2820 ROOSEVELT RD
MARINETTE, WI 54143
Marinette County (715) 735-5225
ASHLEY T BRETL D-PT
Physical Therapist
2820 ROOSEVELT RD
MARINETTE, WI 54143
Marinette County (715) 735-5225
STEPHANIE ROSE HAKKILA APNP
Nurse Practitioner (Family)
2820 ROOSEVELT RD
MARINETTE, WI 54143
Marinette County (715) 735-5225
KATIE J RETTLER APNP
Nurse Practitioner
2820 ROOSEVELT RD
MARINETTE, WI 54143
Marinette County (715) 735-5225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Kristin Light located?

Kristin Light practices at 2820 Roosevelt Rd, Marinette, WI 54143. The listed phone number is (715) 735-5225.

What is Kristin Light's specialty?

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

Is Kristin Light enrolled in Medicare?

Yes. Kristin Light is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kristin Light's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Light reassigns Medicare benefits to 2 organizations: Oconto Hospital & Medical Center Inc (Marinette, WI) and Bellin Memorial Hospital Inc (Marinette, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristin Light's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristin Light accept?

Health plans from Aspirus Health Plan and CareSource (Common Ground Healthcare) list Kristin Light as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.