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KRISTIN VAN KONYNENBURG M.D.
NPI 1801878434
Family Medicine in Longmont, CO

Active since November 18, 2005Opted out of Medicare · through Jul 1, 2028
600 S AIRPORT RD UNIT A203, LONGMONT, CO 80503(303) 776-0467(303) 776-0387 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Kristin Van Konynenburg M.d. NPPES

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

KRISTIN VAN KONYNENBURG M.D. (NPI 1801878434) is an individual family medicine provider in Longmont, Colorado, licensed in Colorado (42439) and active in the NPI registry since November 2005. She has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1801878434
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKRISTIN VAN KONYNENBURGCredential: M.D.
Location Address600 S AIRPORT RD UNIT A203Longmont, CO 80503-6427
Mailing Address1067 S Hover St, Unit ELongmont, CO 80501-7904 · (720) 253-5648
Phone(303) 776-0467
Fax(303) 776-0387
Sole ProprietorNo
Enumeration DateNovember 18, 2005
Last NPPES UpdateApril 15, 2021
NPPES CertifiedApril 15, 2021
✔ NPI 1801878434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · 42439
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.
600 S AIRPORT RD UNIT A203, Longmont, CO 80503
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Other Identifiers 1

Medicaid31238505CO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Kristin Van Konynenburg M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2012 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2012
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80503 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$85.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Van Konynenburg's NPI number?

The NPI number for Kristin Van Konynenburg is 1801878434. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Kristin Van Konynenburg located?

Kristin Van Konynenburg practices at 600 S Airport Rd Unit A203, Longmont, CO 80503. The listed phone number is (303) 776-0467.

What is Kristin Van Konynenburg's specialty?

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

Is Kristin Van Konynenburg enrolled in Medicare?

No. Kristin Van Konynenburg has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kristin Van Konynenburg was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.