KATHRYN LORRAINE KOOISTRA CNM
NPI 1619492154
Advanced Practice Midwife in Greensboro, NC

Active since August 06, 2017PECOS Enrolled
930 3RD ST, GREENSBORO, NC 27405(336) 890-3200(336) 890-3290 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 2, 2023, Aug 6, 2017 (2 updates tracked since 2017).

About Kathryn Lorraine Kooistra Cnm NPPES

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

KATHRYN LORRAINE KOOISTRA CNM (NPI 1619492154) is an individual advanced practice midwife in Greensboro, North Carolina, licensed in North Carolina (CNM653) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619492154
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameKATHRYN LORRAINE KOOISTRACredential: CNM
Location Address930 3RD STGreensboro, NC 27405-6967
Mailing Address104 Jasmine CtCarrboro, NC 27510-4119 · (404) 909-1228
Fax(336) 890-3290
Sole ProprietorNo
Enumeration DateAugust 6, 2017
Last NPPES UpdateMarch 2, 20232 updates tracked since enumeration
NPPES CertifiedMarch 2, 2023
NPI 1619492154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License Licensed in NC · CNM653
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
930 3RD ST, Greensboro, NC 27405

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kathryn Lorraine Kooistra Cnm 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27405 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 20

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

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
930 3RD ST
GREENSBORO, NC 27405
Advanced Practice Midwife
930 3RD ST
GREENSBORO, NC 27405
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
930 3RD ST
GREENSBORO, NC 27405
Advanced Practice Midwife
930 3RD ST
GREENSBORO, NC 27405
Advanced Practice Midwife
930 3RD ST
GREENSBORO, NC 27405
Advanced Practice Midwife
930 3RD ST
GREENSBORO, NC 27405
Family Medicine
930 3RD ST
GREENSBORO, NC 27405
Obstetrics & Gynecology
930 3RD ST
GREENSBORO, NC 27405

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 Kathryn Kooistra's NPI number?

The NPI number for Kathryn Kooistra is 1619492154. It was assigned to this individual provider in the NPPES registry on August 6, 2017.

Where is Kathryn Kooistra located?

Kathryn Kooistra practices at 930 3rd St, Greensboro, NC 27405. The listed phone number is (336) 890-3200.

What is Kathryn Kooistra's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Kathryn Kooistra enrolled in Medicare?

Yes. Kathryn Kooistra is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathryn Kooistra was last updated on March 2, 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.