KRISTIN LEE COOLIDGE FNP-C
NPI 1205519378
Nurse Practitioner - Family in Peoria, AZ

Q: What is Kristin Coolidge's NPI number?

The NPI number for Kristin Coolidge is 1205519378. It was assigned to this individual provider in the NPPES registry on August 7, 2023.

Q: What is Kristin Coolidge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kristin Coolidge was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 August 07, 2023PECOS Enrolled

8088 W WHITNEY DR, PEORIA, AZ 85345(833) 855-9973 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kristin Lee Coolidge Fnp-c NPPES

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

KRISTIN LEE COOLIDGE FNP-C (NPI 1205519378) is an individual family provider in Peoria, Arizona, licensed in Arizona (240929) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205519378

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKRISTIN LEE COOLIDGECredential: FNP-C

Location Address8088 W WHITNEY DRPeoria, AZ 85345-6564

Mailing Address8088 W Whitney Dr Ste 2ePeoria, AZ 85345-6564 · (833) 855-9973

Phone(833) 855-9973

Sole ProprietorNo

Enumeration DateAugust 7, 2023

NPPES CertifiedJuly 24, 2023

✔ NPI 1205519378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · 240929

8088 W WHITNEY DR, Peoria, AZ 85345

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc..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 Lee Coolidge Fnp-c 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

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

Maricopa County Special Health Care District

10.0 mi

Adult Mental Health

950 E VAN BUREN ST
Avondale, AZ 85323

Reassigned Medicare billing, Arizona enrollment
285 clinicians in this Medicare group

NPI 1043679327 (602) 344-2520

District Medical Group, Inc

15 mi

Pulmonary Disease

2525 E ROOSEVELT ST, MED CLINIC - PULMONARY
Phoenix, AZ 85008

Reassigned Medicare billing, Arizona enrollment
1,490 clinicians in this Medicare group

NPI 1700119815 (602) 344-1095

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

Areas of Expertise CMS Part B claims

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.

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.

15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85345 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 16

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

MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT

Pharmacy (Community/Retail Pharmacy)