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KRISTIN KOSS NP
NPI 1568964658
Nurse Practitioner in Pontiac, MI

Active since March 05, 2018PECOS EnrolledAccepts Medicare Assignment
39.65/100
CMS Quality Rating
44555 WOODWARD AVE, PONTIAC, MI 48341(248) 858-6104(248) 839-6746 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 13, 2024, Mar 5, 2018 (2 updates tracked since 2018).

About Kristin Koss Np NPPES

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

KRISTIN KOSS NP (NPI 1568964658) is an individual nurse practitioner in Pontiac, Michigan, licensed in Michigan (4704273147) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Oakland Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1568964658
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKRISTIN KOSSCredential: NP
Location Address44555 WOODWARD AVEPontiac, MI 48341
Mailing Address24 Frank Lloyd Wright Drive, Suite J2000Ann Arbor, MI 48105 · (734) 747-6766 · Fax (734) 222-3100
Phone(248) 858-6104
Fax(248) 839-6746
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 5, 2018
Last NPPES UpdateDecember 13, 20242 updates tracked since enumeration
✔ NPI 1568964658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704273147
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.
44555 WOODWARD AVE, Pontiac, MI 48341
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Kristin Koss Np 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 ID941562912
PECOS Enrollment IDI20180403001178
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

3

Medicare enrollment records show Kristin Koss reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sjmh Medical Practice-Smhc
Same address
Internal Medicine
44405 WOODWARD AVE
Pontiac, MI 48341
  • Reassigned Medicare billing, Michigan enrollment
  • 139 clinicians in this Medicare group
NPI 1346284684 (248) 858-6144
Michigan Healthcare Professionals PC
7.7 mi
Internal Medicine
29992 NORTHWESTERN HWY, SUITE C
Farmington Hills, MI 48334
  • Reassigned Medicare billing, Michigan enrollment
  • 741 clinicians in this Medicare group
NPI 1295023547 (248) 851-1430
Iha Health Services Corporation
8.7 mi
Family Medicine
28300 ORCHARD LAKE RD STE 103
Farmington Hills, MI 48334
  • Reassigned Medicare billing, Michigan enrollment
  • 1,480 clinicians in this Medicare group
NPI 1750138566 (248) 287-7860

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

Hospital Affiliations CMS Care Compare

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

Trinity Health Oakland Hospital

Acute Care Hospitals · Pontiac, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230029
Location44405 Woodward AvePontiac, MI 48341 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48341 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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.

39.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Promoting Interoperability0
Improvement Activities30
Cost69.24

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. SHAHID JAMIL M.D.
Psychiatry & Neurology (Psychiatry)
44555 WOODWARD AVE, STE 405
PONTIAC, MI 48341
Oakland County (248) 333-7100
DR. JENNIFER L HENDERSON D.O.
Anesthesiology
44555 WOODWARD AVE, SUITE 308
PONTIAC, MI 48341
Oakland County (248) 858-2509
MRS. MICHELLE MARIE MCDONALD PT
Physical Therapist
44555 WOODWARD AVE, SUITE 080
PONTIAC, MI 48341
Oakland County (248) 858-6950
JAMES CARALIS DO PC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
44555 WOODWARD AVE, SUITE 307
PONTIAC, MI 48341
Oakland County (248) 858-3939
SJMH MEDICAL PRACTICE
Internal Medicine (Critical Care Medicine)
44555 WOODWARD AVE, SUITE 402
PONTIAC, MI 48341
Oakland County (248) 335-1110
WILLIAM GORDON M.D.P.C.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
44555 WOODWARD AVE, SUITE 307
PONTIAC, MI 48341
Oakland County (248) 858-3939
KARMO AESTHETIC CENTER PC
Plastic Surgery (Surgery of the Hand)
44555 WOODWARD AVE, STE 103
PONTIAC, MI 48341
Oakland County (248) 858-6777
MALIK E. MCKANY, M.D. P.C.
Surgery
44555 WOODWARD AVE, SUITE 101
PONTIAC, MI 48341
Oakland County (248) 858-3800

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 Koss's NPI number?

The NPI number for Kristin Koss is 1568964658. It was assigned to this individual provider in the NPPES registry on March 5, 2018.

Where is Kristin Koss located?

Kristin Koss practices at 44555 Woodward Ave, Pontiac, MI 48341. The listed phone number is (248) 858-6104.

What is Kristin Koss's specialty?

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

Is Kristin Koss enrolled in Medicare?

Yes. Kristin Koss 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 Kristin Koss's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Koss reassigns Medicare benefits to 3 organizations: Sjmh Medical Practice-Smhc (Pontiac, MI), Michigan Healthcare Professionals PC (Farmington Hills, MI) and Iha Health Services Corporation (Farmington Hills, 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 Kristin Koss's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristin Koss accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Kristin Koss 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 Koss affiliated with any hospitals?

According to CMS data, Kristin Koss is affiliated with Trinity Health Oakland Hospital.

When was this NPI record last updated?

The NPPES record for Kristin Koss was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.