KRISTOFFER ALLEN TACUB VALENZUELA MD
NPI 1659712842
Family Medicine in Bremerton, WA

Q: What is Kristoffer Allen Valenzuela's NPI number?

The NPI number for Kristoffer Allen Valenzuela is 1659712842. It was assigned to this individual provider in the NPPES registry on July 16, 2013.

Q: What is Kristoffer Allen Valenzuela's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 16, 2013PECOS EnrolledAccepts Medicare Assignment

2508 WHEATON WAY, BREMERTON, WA 98310(360) 377-3776(360) 373-2096 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2021, Jun 30, 2016 (2 updates tracked since 2016).

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About Kristoffer Allen Tacub Valenzuela Md NPPES

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

KRISTOFFER ALLEN TACUB VALENZUELA MD (NPI 1659712842) is an individual family medicine provider in Bremerton, Washington, licensed in Washington (MD60631103) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Harrison Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1659712842

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKRISTOFFER ALLEN TACUB VALENZUELACredential: MD

Location Address2508 WHEATON WAYBremerton, WA 98310-3303

Mailing AddressPo Box 960Bremerton, WA 98337-0212 · (360) 478-2366 · Fax (360) 373-2096

Phone(360) 377-3776

Fax(360) 373-2096

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJuly 16, 2013

Last NPPES UpdateMarch 23, 20212 updates tracked since enumeration

NPPES CertifiedMarch 23, 2021

✔ NPI 1659712842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · MD60631103

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2508 WHEATON WAY, Bremerton, WA 98310

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristoffer Allen Tacub Valenzuela Md 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 ID1254575913

PECOS Enrollment IDI20160709000039

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.

Hospital Affiliations CMS Care Compare

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

Harrison Medical Center

Acute Care Hospitals · Bremerton, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500039

Location2520 Cherry AvenueBremerton, WA 98310 · Kitsap County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98310 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers22 claims93 services$4.15 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

3 suppliers14 claims34 services$0.37 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

SHARON PENNY LYNNE ISHIHARA PMH NP-BC

Nurse Practitioner (Psychiatric/Mental Health)