MISS KRISTEN LEIGH BAUMGARTNER PA
NPI 1891379236
Physician Assistant in Stroudsburg, PA

Q: What is Kristen Baumgartner's NPI number?

The NPI number for Kristen Baumgartner is 1891379236. It was assigned to this individual provider in the NPPES registry on May 11, 2021.

Q: What is Kristen Baumgartner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since May 11, 2021PECOS EnrolledAccepts Medicare Assignment

95.64/100

CMS Quality Rating

100 ST LUKES LN, STROUDSBURG, PA 18360(866) 785-8537 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 26, 2026, Nov 21, 2024, Jan 20, 2022 and 1 more (4 updates tracked since 2021).

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About Miss Kristen Leigh Baumgartner Pa NPPES

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

MISS KRISTEN LEIGH BAUMGARTNER PA (NPI 1891379236) is an individual physician assistant in Stroudsburg, Pennsylvania, licensed in Texas (PA18354) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1891379236

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMISS KRISTEN LEIGH BAUMGARTNERCredential: PA

Location Address100 ST LUKES LNStroudsburg, PA 18360-6217

Mailing Address326 Vista DrPhoenixville, PA 19460-1053 · (610) 389-9550

Phone(866) 785-8537

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 11, 2021

Last NPPES UpdateJanuary 26, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2026

✔ NPI 1891379236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in TX · PA18354✔ Licensed in DE · C5-0012397

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License MA062898 (PA)

100 ST LUKES LN, Stroudsburg, PA 18360

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Miss Kristen Leigh Baumgartner Pa 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 ID6305230731

PECOS Enrollment IDI20260205003092

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18360 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

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.

95.64/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.57

Promoting Interoperability

100

Improvement Activities

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.

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