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KRISTINA E ESPINOZA MD
NPI 1962553669
Family Medicine in Madison, WI

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment
202 S PARK ST, MADISON, WI 53715(608) 417-5695(608) 417-5890 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 23, 2026, Aug 15, 2018 (2 updates tracked since 2018).

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

NPI1962553669
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKRISTINA E ESPINOZACredential: MD
Location Address202 S PARK STMadison, WI 53715-1507
Mailing Address202 S Park StMadison, WI 53715-1507 · (608) 417-6000 · Fax (608) 417-3878
Phone(608) 417-5695
Fax(608) 417-5890
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2005
Enumeration DateJanuary 16, 2007
Last NPPES UpdateApril 23, 20262 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1962553669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 50589
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
202 S PARK ST, Madison, WI 53715
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Group Health Cooperative-SCW.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

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.

PECOS PAC ID7113070467
PECOS Enrollment IDI20090804000209
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
131 services70 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
89 services88 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
44 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
44 services30 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
40 services29 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
36 services35 patients

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, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520089
Location202 S Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Watertown Memorial Hospital

Acute Care Hospitals · Watertown, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520116
Location125 Hospital DriveWatertown, WI 53098 · Dodge County
Emergency services Birthing friendly

Physician 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.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier20 claims20 services$6.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ASHLEY N BERKA NURSE PRACTITIONER
Nurse Practitioner
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6667
BROOK INGEBRIGTSON APNP
Nurse Practitioner (Neonatal, Critical Care)
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6236
PAUL LADWIG RN
Registered Nurse
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6000
DIXITA KAPPELL NP
Nurse Practitioner (Neonatal, Critical Care)
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6236
SUSAN R WILHELM PA-C
Physician Assistant (Medical)
202 S PARK ST, MERITER ATRIUM
MADISON, WI 53715
Dane County (608) 417-5970
PETER GERARD PRYDE MD
Anesthesiology
202 S PARK ST, 4 TOWER
MADISON, WI 53715
Dane County (608) 267-6676
SUSAN MENG PT
Physical Therapist
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6000
BRIAN DAVID GRIFFITH M.D.
Internal Medicine (Critical Care Medicine)
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-5950

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.

What insurance does Kristina Espinoza accept?

Health plans from 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 Watertown Memorial 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 3 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.