DR. KRISTIN WALLICK (M.D.) – Pulmonary Disease Physician, NPI 1356311203

DR. KRISTIN WALLICK (M.D.) is a healthcare provider. based in Fort collins, Colorado. specializing in PULMONARY DISEASE, CRITICAL CARE (INTENSIVISTS), CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. DR.0037197 (CO). The NPI Number for DR. KRISTIN WALLICK (M.D.) is 1356311203

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. KRISTIN WALLICK (M.D.)
NPI
1356311203
Phone
(970) 224-9102
Address
2121 E HARMONY RD
Enumeration Date
24 January 2006
Last Update Date
16 August 2016

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
3076341311
Graduation Year
1993 (33 years ago)
PAC ID
6406862606
Group Practice PAC ID
9638208549
Professional Enrollment ID
I20150314000376
Address ID
WY820094800CH5050XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

411 PULMONARY DISEASE in CO

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Provider Addresses for DR. KRISTIN WALLICK (M.D.)

  • 2121, East Harmony Road, Fort Collins, Larimer County, Colorado, 80528-9599, United States

    SUITE 300

    FORT COLLINS, CO 805283400

    Phone: (970) 224-9102

    Fax: (970) 224-9112

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-03-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20071010000145ICritical Care (Intensivists)COTBD
I20150314000376IPulmonary DiseaseWYTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes5728$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4526$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 80528)

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Provider's Procedures

DR. KRISTIN WALLICK (M.D.) performs procedures in PULMONARY DISEASE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CRITICAL CARE (INTENSIVISTS)CO36620Insertion of arterial catheter for blood sampling or infusion, accessed through the skin1212
CRITICAL CARE (INTENSIVISTS)CO94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration1212

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: 9638208549View full group profile
NameSpecialtyState
Pulmonary DiseaseCO
-CO
-CO
-MO
Physician AssistantCO
-CO
Hospitalist, Internal MedicineNY
Physician AssistantCO
Physician AssistantCO
Nurse PractitionerCO

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. KRISTIN WALLICK (M.D.)?
DR. KRISTIN WALLICK (M.D.) — NPI 1356311203 — is the standard way to identify this listing.
Can I rely on DR. KRISTIN WALLICK (M.D.) being an active provider?
As of the registry snapshot, DR. KRISTIN WALLICK (M.D.) is marked active.
What taxonomy line describes DR. KRISTIN WALLICK (M.D.)?
For research purposes, treat DR. KRISTIN WALLICK (M.D.) as Pulmonary Disease Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. KRISTIN WALLICK (M.D.) based?
DR. KRISTIN WALLICK (M.D.) is tied to Fort Collins, Colorado in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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