KRISTINA RAE VANDER MARK M.D.
NPI 1366538860
Obstetrics & Gynecology in Lakeland, FL
About Kristina Rae Vander Mark M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTINA RAE VANDER MARK M.D. (NPI 1366538860) is an individual obstetrics & gynecology provider in Lakeland, Florida, licensed in Florida (ME170074) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Wayne State University School Of Medicine (2000).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 5
Other Identifiers 1
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
Kristina Rae Vander Mark M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kristina Vander Mark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lakeland, FL 33805
- Reassigned Medicare billing, Florida enrollment
- 740 clinicians in this Medicare group
Muskegon, MI 49442
- Reassigned Medicare billing, Michigan enrollment
- 150 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
LAKELAND, FL 33805
LAKELAND, FL 33805
LAKELAND, FL 33805
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 Kristina Vander Mark's NPI number?
The NPI number for Kristina Vander Mark is 1366538860. It was assigned to this individual provider in the NPPES registry on October 4, 2006.
Where is Kristina Vander Mark located?
Kristina Vander Mark practices at 1324 Lakeland Hills Blvd, Lakeland, FL 33805. The listed phone number is (863) 284-6860.
What is Kristina Vander Mark's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Kristina Vander Mark enrolled in Medicare?
Yes. Kristina Vander Mark 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 organizations bill Medicare for Kristina Vander Mark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Vander Mark reassigns Medicare benefits to 2 organizations: Lakeland Regional Health Systems, Inc. (Lakeland, FL) and Mercy Health Partners - Physician Specialist (Muskegon, MI). 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 Kristina Vander Mark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristina Vander Mark accept?
Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and UnitedHealthcare list Kristina Vander Mark 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 Kristina Vander Mark was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Kristina Rae Vander Mark, M.D. · NPI 1366538860
Obstetrics & Gynecology physician in Lakeland, Florida. Individual provider, active in the CMS NPPES registry since October 4, 2006.
## Identity
- **NPI:** 1366538860 (Entity type: Individual)
- **Enumerated:** October 4, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** ME170074 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1324 LAKELAND HILLS BLVD, Lakeland, FL 33805-4543
- **Phone:** (863) 284-6860
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lakeland Regional Health Systems, Inc. (NPI 1497748743, Lakeland, FL); Mercy Health Partners - Physician Specialist (NPI 1922248772, Muskegon, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 2000
## Record status
- **NPPES last updated:** February 18, 2025
- **Other identifiers:** Medicaid 4789630 (MI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1366538860) · Data from the CMS NPPES public registry.