KRISTIAN ALLEN INGEBRETSEN RN, SRNA
NPI 1891402814
Student in an Organized Health Care Education/Training Program in Philadelphia, PA
About Kristian Allen Ingebretsen Rn, Srna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTIAN ALLEN INGEBRETSEN RN, SRNA (NPI 1891402814) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since October 2022. He is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kristian Allen Ingebretsen Rn, Srna 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.
Medicare Billing Reassignment
Medicare enrollment records show Kristian Ingebretsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gresham, OR 97030
- Reassigned Medicare billing, Oregon enrollment
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- 3,207 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kristian Ingebretsen's NPI number?
The NPI number for Kristian Ingebretsen is 1891402814. It was assigned to this individual provider in the NPPES registry on October 31, 2022.
Where is Kristian Ingebretsen located?
Kristian Ingebretsen practices at 1136 N American St Unit 404, Philadelphia, PA 19123. The listed phone number is (206) 794-5902.
What is Kristian Ingebretsen's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kristian Ingebretsen enrolled in Medicare?
Yes. Kristian Ingebretsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kristian Ingebretsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristian Ingebretsen reassigns Medicare benefits to Sapphire At Gresham Rehab, LLC (Gresham, OR). 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 Kristian Ingebretsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kristian Ingebretsen was last updated on November 4, 2022. 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.
# Kristian Allen Ingebretsen, RN, SRNA · NPI 1891402814
Student in an Organized Health Care Education/Training Program provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 31, 2022.
## Identity
- **NPI:** 1891402814 (Entity type: Individual)
- **Enumerated:** October 31, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1136 N AMERICAN ST UNIT 404, Philadelphia, PA 19123-1680
- **Phone:** (206) 794-5902
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Sapphire At Gresham Rehab, LLC (NPI 1033740899, Gresham, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** November 4, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1891402814) · Data from the CMS NPPES public registry.