Mrs Kristin L Goetz, APRN - Medicare Nurse Practitioner in Wichita, KS

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Mrs Kristin L Goetz, APRN is a medicare enrolled "Nurse Practitioner - Family" in Wichita, Kansas. Her current practice location is 4722 W Kellogg Dr, Wichita, Kansas. You can reach out to her office (for appointments etc.) via phone at (316) 440-2565.

Mrs Kristin L Goetz is licensed to practice in Kansas (license number 53-76274-041) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255746384.

Contact Information

Mrs Kristin L Goetz, APRN
4722 W Kellogg Dr,
Wichita, KS 67209-2508
(316) 440-2565
(316) 440-2750

Map and Direction




Provider's Profile

Full NameMrs Kristin L Goetz
GenderFemale
SpecialityNurse Practitioner - Family
Location4722 W Kellogg Dr, Wichita, Kansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255746384
  • Provider Enumeration Date: 06/26/2014
  • Last Update Date: 07/14/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 4688890684
  • Enrollment ID: I20140729000308

Medical Identifiers

Medical identifiers for Mrs Kristin L Goetz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255746384NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WE0003XRegistered Nurse - Emergency 13-109121-041 (Kansas)Secondary
363LF0000XNurse Practitioner - Family 53-76274-041 (Kansas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kristin L Goetz allows following entities to bill medicare on her behalf.
Entity NameStafford County Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1295840999
PECOS PAC ID: 3678583382
Enrollment ID: O20061104000699
Entity NameStafford County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295840999
PECOS PAC ID: 3678583382
Enrollment ID: O20070108000343
Entity NameVep Hutchinson Emergency Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669879110
PECOS PAC ID: 5092031054
Enrollment ID: O20150310001308
Entity NameCep America - Kansas Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659768125
PECOS PAC ID: 3971814286
Enrollment ID: O20150612000623
Entity NameKg Medical Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356053813
PECOS PAC ID: 4082070065
Enrollment ID: O20230517001240

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kristin L Goetz is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Kristin L Goetz, APRN
4722 W Kellogg Dr,
Wichita, KS 67209-2508

Ph: (316) 440-2565		Mrs Kristin L Goetz, APRN
4722 W Kellogg Dr,
Wichita, KS 67209-2508

Ph: (316) 440-2565

Reviews and Comments


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Mr. Norman Keith Trevolt, ARNP
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Kathryn M Filby, ARNP
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Ms. Shirley Rae Parish, RN, FNP-BC
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Phone: 316-265-1308    Fax: 316-265-4480

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.