KRISTEN COFFMAN (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1104312420

KRISTEN COFFMAN (PMHNP) is a healthcare provider. based in Little rock, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. ATP-001331 (AR). The NPI Number for KRISTEN COFFMAN (PMHNP) is 1104312420

Main info

Female
8 Years Of Experience
Name
KRISTEN COFFMAN (PMHNP)
NPI
1104312420
Phone
(501) 603-2147
Address
400 HARDIN RD STE 150
Enumeration Date
10 July 2018
Last Update Date
10 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4797859400
Graduation Year
2018 (8 years ago)
PAC ID
7719317445
Group Practice PAC ID
1355326174
Professional Enrollment ID
I20200421002612
Address ID
AR729035017FO3117XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

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Provider Addresses for KRISTEN COFFMAN (PMHNP)

  • Hardin Road, Little Rock, Pulaski County, Arkansas, 772211, United States

    LITTLE ROCK, AR 722113507

    Phone: (501) 603-2147

    Fax: (501) 603-0204

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $470.

Total Amount is formed as General ($470) + Research ($0) + Ownership ($0) = $470.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($139).

Total Amount

$470

General + Research + Ownership

Payments

24

Total payment records

General Amount

$470

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-04-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200421002612INurse PractitionerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72211)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355326174View full group profile
NameSpecialtyState
Clinical Social WorkerAR
Clinical Social WorkerAR
-AR
Mental Health CounselorAR
-AR
-AR
Mental Health CounselorAR
Clinical Social WorkerAR
Mental Health CounselorAR
Mental Health CounselorAR

Reviews

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Frequently asked questions

Where can patients find KRISTEN COFFMAN (PMHNP)'s NPI?
You can confirm KRISTEN COFFMAN (PMHNP) with NPI 1104312420; it appears in the national provider directory.
Is KRISTEN COFFMAN (PMHNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does KRISTEN COFFMAN (PMHNP) work in?
You can think of KRISTEN COFFMAN (PMHNP) as practicing within Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for KRISTEN COFFMAN (PMHNP)?
The page summarizes Little Rock, Arkansas for KRISTEN COFFMAN (PMHNP); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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