KRISTINA KOUTSOUPIS (MSN, APRN, AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1275378077

KRISTINA KOUTSOUPIS (MSN, APRN, AGACNP-BC) is a healthcare provider. based in Boca raton, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN, AGACNP-BC. They hold a License No. APRN11033871 (FL). The NPI Number for KRISTINA KOUTSOUPIS (MSN, APRN, AGACNP-BC) is 1275378077

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINA KOUTSOUPIS (MSN, APRN, AGACNP-BC)
NPI
1275378077
Phone
(561) 414-5889
Address
5195 MAJORCA CLUB DR
Enumeration Date
25 June 2024
Last Update Date
5 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5613315050
Graduation Year
2024 (2 years ago)
PAC ID
4587103049
Group Practice PAC ID
5991042640
Professional Enrollment ID
I20240828001859
Address ID
FL334456615DE4675XBLVD303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for KRISTINA KOUTSOUPIS (MSN, APRN, AGACNP-BC)

  • 5195 MAJORCA CLUB DR

    BOCA RATON, FL 334868709

    Phone: (561) 414-5889

    Type: Mailing

  • 4675 LINTON BLVD STE 200

    DELRAY BEACH, FL 334456615

    Phone: (561) 331-5050

    Type: Location

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: 2024-08-28

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
I20240828001859INurse PractitionerFLTBD

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 33486)

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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: 5991042640View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Pain ManagementFL
Interventional Pain ManagementFL
A N E S T H E S I O L O G YFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What federal number belongs to KRISTINA KOUTSOUPIS (MSN, APRN, AGACNP-BC)?
The federal identifier for KRISTINA KOUTSOUPIS (MSN, APRN, AGACNP-BC) is NPI 1275378077.
Does this profile mean KRISTINA KOUTSOUPIS (MSN, APRN, AGACNP-BC) is currently active?
Yes — KRISTINA KOUTSOUPIS (MSN, APRN, AGACNP-BC) appears active in the national provider directory.
What field does KRISTINA KOUTSOUPIS (MSN, APRN, AGACNP-BC) work in?
You can think of KRISTINA KOUTSOUPIS (MSN, APRN, AGACNP-BC) as practicing within Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for KRISTINA KOUTSOUPIS (MSN, APRN, AGACNP-BC)?
The page summarizes Boca Raton, Florida for KRISTINA KOUTSOUPIS (MSN, APRN, AGACNP-BC); 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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