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DR. KRISTEN-KAYE GOULBOURNE
NPI 1841602471
Pediatrics in Pensacola, FL

Active since June 02, 2014PECOS Enrolled
90.84/100
CMS Quality Rating
5153 N 9TH AVE, PENSACOLA, FL 32504(850) 416-7710(850) 416-6729 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 25, 2021, Mar 8, 2019 (2 updates tracked since 2019).

About Dr. Kristen-kaye Goulbourne NPPES

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

DR. KRISTEN-KAYE GOULBOURNE (NPI 1841602471) is an individual pediatrics provider in Pensacola, Florida, licensed in Florida (ME146961) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841602471
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KRISTEN-KAYE GOULBOURNE
Location Address5153 N 9TH AVEPensacola, FL 32504-8785
Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623 · (904) 450-6063 · Fax (904) 450-6401
Phone(850) 416-7710
Fax(850) 416-6729
Sole ProprietorYes
Enumeration DateJune 2, 2014
Last NPPES UpdateFebruary 25, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2021
✔ NPI 1841602471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME146961
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License 0101262279 (VA)
5153 N 9TH AVE, Pensacola, FL 32504
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Other Identifiers 1

Other0101262279VA · Commonwealth Of Virginia

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kristen-kaye Goulbourne 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 Reassignment

Medicare enrollment records show Kristen-kaye Goulbourne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Nemours Foundation
331 mi
Multi-Specialty
807 CHILDRENS WAY
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 703 clinicians in this Medicare group
NPI 1265585806 (904) 697-3600

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 32504 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

90.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

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.

MS. SUSAN LEIGH DIAMOND PA-C
Physician Assistant
5153 N 9TH AVE
PENSACOLA, FL 32504
Escambia County (850) 505-4700
MRS. STEPHANIE SHARPLES FRANCIS MS
Genetic Counselor, MS
5153 N 9TH AVE, SUITE 201
PENSACOLA, FL 32504
Escambia County (850) 416-4025
MRS. MATILDA JANSEN ACNP
Nurse Practitioner (Acute Care)
5153 N 9TH AVE, SUITE 404
PENSACOLA, FL 32504
Escambia County (850) 416-4970
RENEE PHILLIPS
Nurse Practitioner
5153 N 9TH AVE, STE 302
PENSACOLA, FL 32504
Escambia County (850) 416-2250
LYNDSAY D NORMAN ARNP
Nurse Practitioner (Family)
5153 N 9TH AVE, SUITE 302
PENSACOLA, FL 32504
Escambia County (850) 416-2250
SABRINA ADAMS MD
Pediatrics (Pediatric Critical Care Medicine)
5153 N 9TH AVE
PENSACOLA, FL 32504
Escambia County (850) 416-7710
AMY E LEE M.D.
Pediatrics (Pediatric Critical Care Medicine)
5153 N 9TH AVE, 6TH FLOOR NEMOURS
PENSACOLA, FL 32504
Escambia County (850) 416-7658
GEORGE MICHAEL DMYTRENKO M.D., PH.D.
Psychiatry & Neurology (Neurology)
5153 N 9TH AVE
PENSACOLA, FL 32504
Escambia County (850) 416-2554

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 Kristen-kaye Goulbourne's NPI number?

The NPI number for Kristen-kaye Goulbourne is 1841602471. It was assigned to this individual provider in the NPPES registry on June 2, 2014.

Where is Kristen-kaye Goulbourne located?

Kristen-kaye Goulbourne practices at 5153 N 9th Ave, Pensacola, FL 32504. The listed phone number is (850) 416-7710.

What is Kristen-kaye Goulbourne's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kristen-kaye Goulbourne enrolled in Medicare?

Yes. Kristen-kaye Goulbourne is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kristen-kaye Goulbourne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen-kaye Goulbourne reassigns Medicare benefits to The Nemours Foundation (Jacksonville, FL). The 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 Kristen-kaye Goulbourne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristen-kaye Goulbourne accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Kristen-kaye Goulbourne 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.

When was this NPI record last updated?

The NPPES record for Kristen-kaye Goulbourne was last updated on February 25, 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.