KRISTINA E ESPINOZA MD
NPI 1962553669
Family Medicine in Madison, WI
About Kristina E Espinoza Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTINA E ESPINOZA MD (NPI 1962553669) is an individual family medicine provider in Madison, Wisconsin, licensed in Wisconsin (50589) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and is a graduate of University Of Wisconsin School Of Medicine (2005).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Kristina E Espinoza Md 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 Kristina Espinoza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Madison, WI 53715
- Reassigned Medicare billing, Wisconsin enrollment
- 164 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.
Areas of Expertise CMS Part B claims 8
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Unitypoint Health - Meriter
Acute Care Hospitals · Madison, WIUniversity Of Wi Hospitals & Clinics Authority
Acute Care Hospitals · Madison, WIStoughton Hospital
Critical Access Hospitals · Stoughton, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53715 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Kristina Espinoza's NPI number?
The NPI number for Kristina Espinoza is 1962553669. It was assigned to this individual provider in the NPPES registry on January 16, 2007.
Where is Kristina Espinoza located?
Kristina Espinoza practices at 202 S Park St, Madison, WI 53715. The listed phone number is (608) 417-5695.
What is Kristina Espinoza's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kristina Espinoza enrolled in Medicare?
Yes. Kristina Espinoza 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 Kristina Espinoza's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Espinoza reassigns Medicare benefits to Meriter Hospital, Inc. (Madison, WI). 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 Kristina Espinoza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristina Espinoza accept?
Health plans from Anthem Blue Cross and Blue Shield and Group Health Cooperative-SCW list Kristina Espinoza 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.
Is Kristina Espinoza affiliated with any hospitals?
According to CMS data, Kristina Espinoza is affiliated with Unitypoint Health - Meriter, University Of Wi Hospitals & Clinics Authority and Stoughton Hospital.
When was this NPI record last updated?
The NPPES record for Kristina Espinoza was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kristina E Espinoza, MD · NPI 1962553669
Family Medicine physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since January 16, 2007.
## Identity
- **NPI:** 1962553669 (Entity type: Individual)
- **Enumerated:** January 16, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 50589 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 202 S PARK ST, Madison, WI 53715-1507
- **Phone:** (608) 417-5695 · **Fax:** (608) 417-5890
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Meriter Hospital, Inc. (NPI 1548280225, Madison, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Wisconsin School Of Medicine, class of 2005
## Record status
- **NPPES last updated:** April 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1962553669) · Data from the CMS NPPES public registry.