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NICOLE MARIE KRETZER MD PHD
NPI 1942731096
Obstetrics & Gynecology - Gynecology in Seattle, WA

Active since March 21, 2017Opted out of Medicare · through Nov 4, 2026
82.84/100
CMS Quality Rating
6204 8TH AVE NW UNIT A, SEATTLE, WA 98107(206) 455-4491(206) 360-4902 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 11, 2025, Aug 27, 2021, Jun 26, 2021 and 1 more (4 updates tracked since 2017).

About Nicole Marie Kretzer Md Phd NPPES

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

NICOLE MARIE KRETZER MD PHD (NPI 1942731096) is an individual gynecology provider in Seattle, Washington, licensed in Washington (MD61158406) and active in the NPI registry since March 2017. She has opted out of Medicare through November 4, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1942731096
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameNICOLE MARIE KRETZERCredential: MD PHD
Location Address6204 8TH AVE NW UNIT ASeattle, WA 98107-2270
Mailing Address6204 8th Ave Nw Unit ASeattle, WA 98107-2270 · (206) 455-4491 · Fax (206) 360-4902
Phone(206) 455-4491
Fax(206) 360-4902
Sole ProprietorNo
Enumeration DateMarch 21, 2017
Last NPPES UpdateMarch 11, 20254 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
✔ NPI 1942731096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in WA · MD61158406
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
6204 8TH AVE NW UNIT A, Seattle, WA 98107
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

ⓘ

Opted out of Medicare

Nicole Marie Kretzer Md Phd 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 November 4, 2024 through November 4, 2026.

Opt-Out Effective DateNovember 4, 2024
Opt-Out In Effect ThroughNovember 4, 2026Opt-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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
35 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services13 patients
Insertion of temporary bladder tube 51701
This procedure involves placing a small tube into your lower abdomen to help drain urine from your bladder. It's a temporary measure, often used when normal urination is not possible. The tube remains in place until you can urinate on your own again.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98107 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

82.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.14
Promoting Interoperability100
Improvement Activities40
Cost60.65

Other Providers at the Same Location NPPES 2

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

DR. BROOKE ALLISON WINNER MD
Obstetrics & Gynecology (Gynecology)
6204 8TH AVE NW UNIT A
SEATTLE, WA 98107
King County (206) 455-4491
BROOKE WINNER MD, PLLC
Obstetrics & Gynecology (Gynecology)
6204 8TH AVE NW UNIT A
SEATTLE, WA 98107
King County (206) 455-4491

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 Nicole Kretzer's NPI number?

The NPI number for Nicole Kretzer is 1942731096. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Nicole Kretzer located?

Nicole Kretzer practices at 6204 8th Ave NW Unit A, Seattle, WA 98107. The listed phone number is (206) 455-4491.

What is Nicole Kretzer's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Nicole Kretzer enrolled in Medicare?

No. Nicole Kretzer has opted out of Medicare through November 4, 2026. 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.

What insurance does Nicole Kretzer accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Nicole Kretzer 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 Nicole Kretzer was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.