KRISTINA COFFEY (PA) – Physician Assistant, NPI 1447487186
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,531 PHYSICIAN ASSISTANT in ID
Provider Addresses for KRISTINA COFFEY (PA)
190 E BANNOCK ST
BOISE, ID 837126241
Phone: (208) 381-8752
Type: Mailing
3101 E STATE ST
EAGLE, ID 836166232
Phone: (208) 473-3100
Type: Location
9332 S Tryon St
Charlotte, NC 282733108
Phone: (704) 587-6700
Type: Location
PO BOX 19305
CHARLOTTE, NC 282199305
Phone:
Type: Mailing
1802 E Main St
Lincolnton, NC 280923915
Phone: (980) 212-2610
Type: Location
705 Griffith St
Ste 100
Davidson, NC 280369304
Phone: (704) 801-7900
Type: Location
3025 Springbank Ln
Ste 100
Charlotte, NC 282263362
Phone: (704) 446-2620
Type: Location
4525 Cameron Valley Pkwy
Ste 1500
Charlotte, NC 282114369
Phone: (704) 512-6240
Type: Location
3025, Springbank Lane, The Arboretum, Charlotte, Mecklenburg County, North Carolina, 28226, United States
STE 100
CHARLOTTE, NC 282263362
Phone: (704) 446-2620
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: 2023-06-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090914000700 | I | Physician Assistant | NC | TBD |
| I20230622000573 | I | Physician Assistant | ID | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 65 | 64 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 30 | 30 | $0 |
Insurance plans in this area (ZIP 83712)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | ME | |
| Internal Medicine | ID | |
| Family Practice | ID | |
| - | TX | |
| - | OR | |
| Hand Surgery | ID | |
| - | ID | |
| Nurse Practitioner | ID | |
| Physician Assistant | ID | |
| General Surgery | ID |
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