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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KRISTINA RENEE GUTZMAN FNP-C
NPI 1609150218
Nurse Practitioner - Family in Boulder, CO

Active since September 30, 2011PECOS Enrolled
1530 55TH ST STE 123, BOULDER, CO 80303(720) 477-6699(833) 973-4351 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 13, 2026, Mar 28, 2025, Mar 14, 2025 and 2 more (5 updates tracked since 2022).

About Kristina Renee Gutzman Fnp-c NPPES

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

KRISTINA RENEE GUTZMAN FNP-C (NPI 1609150218) is an individual family provider in Boulder, Colorado, licensed in Colorado (0996848-NP) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609150218
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTINA RENEE GUTZMANCredential: FNP-C
Location Address1530 55TH ST STE 123Boulder, CO 80303-1256
Mailing Address1530 55th St Ste 123Boulder, CO 80303-1256 · (720) 477-6699 · Fax (833) 973-4351
Phone(720) 477-6699
Fax(833) 973-4351
Sole ProprietorYes
Enumeration DateSeptember 30, 2011
Last NPPES UpdateOctober 13, 20265 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1609150218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CO · 0996848-NP
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 0106889 (CO)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 0996848-NP (CO)
1530 55TH ST STE 123, Boulder, CO 80303
Open in Google Maps ↗

Other Identifiers 1

Other1174398515CO · Npi Group

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristina Renee Gutzman 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

2

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

Half Moon Health And Wellness, Ltd.
Same address
Family
1530 55TH ST STE 123
Boulder, CO 80303
  • Reassigned Medicare billing, Colorado enrollment
  • Medicare enrollment name: Half Moon Health & Wellness, Ltd
NPI 1174398515 (720) 477-6699
Mogo Urgent Care
933 mi
Urgent Care
2020 DEL MONTE AVENUE, SUITE B
Monterey, CA 93940
  • Reassigned Medicare billing, California enrollment
  • 26 clinicians in this Medicare group
NPI 1770145682 (831) 625-4518

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 80303 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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

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

HALF MOON HEALTH AND WELLNESS, LTD.
Nurse Practitioner (Family)
1530 55TH ST STE 123
BOULDER, CO 80303
Boulder County (720) 477-6699

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 Gutzman's NPI number?

The NPI number for Kristina Gutzman is 1609150218. It was assigned to this individual provider in the NPPES registry on September 30, 2011.

Where is Kristina Gutzman located?

Kristina Gutzman practices at 1530 55th St Ste 123, Boulder, CO 80303. The listed phone number is (720) 477-6699.

What is Kristina Gutzman's specialty?

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

Is Kristina Gutzman enrolled in Medicare?

Yes. Kristina Gutzman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kristina Gutzman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Gutzman reassigns Medicare benefits to 2 organizations: Half Moon Health And Wellness, Ltd. (Boulder, CO) and Mogo Urgent Care (Monterey, CA). 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 Gutzman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kristina Gutzman was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.