KRISTEN MARIE KICINSKI
NPI 1356041032
Nurse Practitioner - Psychiatric/Mental Health in Olympia, WA

Active since March 09, 2023PECOS EnrolledAccepts Medicare Assignment
200 LILLY RD NE STE C, OLYMPIA, WA 98506(360) 918-8336 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 8, 2023, Mar 9, 2023 (2 updates tracked since 2023).

About Kristen Marie Kicinski NPPES

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

KRISTEN MARIE KICINSKI (NPI 1356041032) is an individual psychiatric/mental health provider in Olympia, Washington, licensed in Washington (AP61494885) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1356041032
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKRISTEN MARIE KICINSKI
Location Address200 LILLY RD NE STE COlympia, WA 98506-5080
Mailing Address200 Lilly Rd Ne Ste COlympia, WA 98506-5080 · (360) 918-8336
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 9, 2023
Last NPPES UpdateMarch 1, 20242 updates tracked since enumeration
NPPES CertifiedMarch 1, 2024
✔ NPI 1356041032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WA · AP61494885
Also ListedRegistered NurseTaxonomy 163W00000X · License RN60662619 (WA)
200 LILLY RD NE STE C, Olympia, WA 98506

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristen Marie Kicinski 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 ID1456794858
PECOS Enrollment IDI20240226003791
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 Reassignment

Medicare enrollment records show Kristen Kicinski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Addiction (Substance Use Disorder)
2708 WESTMOOR CT SW
Olympia, WA 98502
  • Reassigned Medicare billing, Washington enrollment
  • 8 clinicians in this Medicare group

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 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.
29 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98506 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Case Manager/Care Coordinator
200 LILLY RD NE STE C
OLYMPIA, WA 98506
Counselor (Addiction (Substance Use Disorder))
200 LILLY RD NE STE C
OLYMPIA, WA 98506
Case Manager/Care Coordinator
200 LILLY RD NE STE C
OLYMPIA, WA 98506
Counselor (Mental Health)
200 LILLY RD NE STE C
OLYMPIA, WA 98506
Counselor (Addiction (Substance Use Disorder))
200 LILLY RD NE STE C
OLYMPIA, WA 98506
Counselor (Addiction (Substance Use Disorder))
200 LILLY RD NE STE C
OLYMPIA, WA 98506
Counselor (Addiction (Substance Use Disorder))
200 LILLY RD NE STE C
OLYMPIA, WA 98506
Counselor (Addiction (Substance Use Disorder))
200 LILLY RD NE STE C
OLYMPIA, WA 98506

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 Kristen Kicinski's NPI number?

The NPI number for Kristen Kicinski is 1356041032. It was assigned to this individual provider in the NPPES registry on March 9, 2023.

Where is Kristen Kicinski located?

Kristen Kicinski practices at 200 Lilly Rd NE Ste C, Olympia, WA 98506. The listed phone number is (360) 918-8336.

What is Kristen Kicinski's specialty?

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

Is Kristen Kicinski enrolled in Medicare?

Yes. Kristen Kicinski 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.

Which organization bills Medicare for Kristen Kicinski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Kicinski reassigns Medicare benefits to Northwest Resources II (Olympia, WA). The 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 Kristen Kicinski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristen Kicinski accept?

Health plans from Providence Health Plan list Kristen Kicinski 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 Kristen Kicinski was last updated on March 1, 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.