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KRISTIN LEIGH DOCTER APNP
NPI 1205312923
Nurse Practitioner in Stoughton, WI

Active since July 16, 2018PECOS EnrolledAccepts Medicare Assignment
225 CHURCH ST, STOUGHTON, WI 53589(608) 877-2777(608) 877-2774 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2020, Jun 10, 2020, Feb 6, 2020 and 4 more (7 updates tracked since 2018).

About Kristin Leigh Docter Apnp NPPES

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

KRISTIN LEIGH DOCTER APNP (NPI 1205312923) is an individual nurse practitioner in Stoughton, Wisconsin, licensed in Wisconsin (9317-33) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1205312923
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKRISTIN LEIGH DOCTERCredential: APNP
Location Address225 CHURCH STStoughton, WI 53589-1801
Mailing Address1808 W Beltline HwyMadison, WI 53713-2334 · (608) 250-1497 · Fax (608) 250-1384
Phone(608) 877-2777
Fax(608) 877-2774
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 16, 2018
Last NPPES UpdateNovember 10, 20207 updates tracked since enumeration
NPPES CertifiedNovember 10, 2020
✔ NPI 1205312923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in WI · 9317-33✔ Licensed in IL · 209017967
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 ListedRegistered NurseTaxonomy 163W00000X · License 041429640 (IL), 198855 (WI)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 9317-33 (WI)
225 CHURCH ST, Stoughton, WI 53589
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Secondary Practice Location 1

Location 1635 N Fairbanks CtChicago, IL 60611 · Phone (312) 694-2273

Other Identifiers 1

Medicaid1205312923WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristin Leigh Docter Apnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931452422
PECOS Enrollment IDI20191114002674
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
50 services37 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services26 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
21 services21 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Stoughton Hospital

Critical Access Hospitals · Stoughton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521343
Location900 Ridge StStoughton, WI 53589 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53589 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$215.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. ROBERT E. TERBRACK D.O.
Family Medicine
225 CHURCH ST
STOUGHTON, WI 53589
Dane County (608) 877-2700
CLARE TILLMAN KUEHL APNP
Nurse Practitioner
225 CHURCH ST
STOUGHTON, WI 53589
Dane County (608) 877-2777
CORY A FIELDS OD
Optometrist
225 CHURCH ST, DEAN MEDICAL CENTER
STOUGHTON, WI 53589
Dane County (608) 877-2700
DANIEL J STADDLER MD
Family Medicine
225 CHURCH ST
STOUGHTON, WI 53589
Dane County (608) 877-2777
JOYCE M BREHM MD
Internal Medicine
225 CHURCH ST, DEAN MEDICAL CENTER
STOUGHTON, WI 53589
Dane County (608) 877-2700
RICHARD G RILLING MD
Orthopaedic Surgery
225 CHURCH ST, DEAN MEDICAL CENTER
STOUGHTON, WI 53589
Dane County (608) 877-2700
SHERI LYNNE PIERCE M.D.
Family Medicine
225 CHURCH ST
STOUGHTON, WI 53589
Dane County (608) 877-2777
LAURA D STOLCPART MD
Family Medicine
225 CHURCH ST
STOUGHTON, WI 53589
Dane County (608) 877-2777

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 Docter's NPI number?

The NPI number for Kristin Docter is 1205312923. It was assigned to this individual provider in the NPPES registry on July 16, 2018.

Where is Kristin Docter located?

Kristin Docter practices at 225 Church St, Stoughton, WI 53589. The listed phone number is (608) 877-2777.

What is Kristin Docter's specialty?

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

Is Kristin Docter enrolled in Medicare?

Yes. Kristin Docter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kristin Docter accept?

Health plans from Anthem Blue Cross and Blue Shield list Kristin Docter 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.

Is Kristin Docter affiliated with any hospitals?

According to CMS data, Kristin Docter is affiliated with Ssm Health St Mary's Hospital - Madison and Stoughton Hospital.

When was this NPI record last updated?

The NPPES record for Kristin Docter was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.