DR. KRISTINA LYNN COPPOCK D.C.
NPI 1992059919
Chiropractor - Sports Physician in Yakima, WA
About Dr. Kristina Lynn Coppock D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KRISTINA LYNN COPPOCK D.C. (NPI 1992059919) is an individual sports physician in Yakima, Washington, licensed in Washington (CH60309681) and active in the NPI registry since October 2012. She is a graduate of Western States College Of Chiropractic (2012).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Dr. Kristina Lynn Coppock D.c. 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 Coppock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Yakima, WA 98908
- Reassigned Medicare billing, Washington enrollment
- 2 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 2
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.
Other Providers at the Same Location NPPES 5
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 Coppock's NPI number?
The NPI number for Kristina Coppock is 1992059919. It was assigned to this individual provider in the NPPES registry on October 29, 2012. The provider is also known as Kristina Lynn Reisenauer.
Where is Kristina Coppock located?
Kristina Coppock practices at 609 S 48th Ave, Yakima, WA 98908. The listed phone number is (509) 965-9820.
What is Kristina Coppock's specialty?
The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.
Is Kristina Coppock enrolled in Medicare?
Yes. Kristina Coppock 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 Coppock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Coppock reassigns Medicare benefits to Active Life Chiropractic Clinic LLC (Yakima, WA). 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 Coppock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristina Coppock accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Kristina Coppock 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 Kristina Coppock was last updated on October 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Kristina Lynn Coppock, D.C. · NPI 1992059919
Sports Physician provider in Yakima, Washington. Individual provider, active in the CMS NPPES registry since October 29, 2012.
## Identity
- **NPI:** 1992059919 (Entity type: Individual)
- **Enumerated:** October 29, 2012
- **Primary specialty:** Chiropractor - Sports Physician · taxonomy 111NS0005X
- **State license:** CH60309681 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 609 S 48TH AVE, Yakima, WA 98908-3614
- **Phone:** (509) 965-9820 · **Fax:** (509) 965-9822
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Active Life Chiropractic Clinic LLC (NPI 1174877955, Yakima, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Western States College Of Chiropractic, class of 2012
## Record status
- **NPPES last updated:** October 29, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1992059919) · Data from the CMS NPPES public registry.