KRISTIN NICOLE ANDERSON (PT, DPT, OCS, CLT) – Physical Therapist, NPI 1851761191

KRISTIN NICOLE ANDERSON (PT, DPT, OCS, CLT) is a healthcare provider. based in Kansas city, Missouri. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT, OCS, CLT. They hold a License No. 2015033669 (MO). The NPI Number for KRISTIN NICOLE ANDERSON (PT, DPT, OCS, CLT) is 1851761191

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN NICOLE ANDERSON (PT, DPT, OCS, CLT)
NPI
1851761191
Phone
(816) 569-2802
Address
4700 BELLEVIEW AVE
Enumeration Date
29 September 2015
Last Update Date
9 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7209260103
Graduation Year
2010 (16 years ago)
PAC ID
6800105255
Group Practice PAC ID
7012438955
Professional Enrollment ID
I20170606000129
Address ID
CO801115125GR6143XDRXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:10State licenses:3Digital endpointsOther names

1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO

Provider Addresses for KRISTIN NICOLE ANDERSON (PT, DPT, OCS, CLT)

  • 4700 BELLEVIEW AVE

    KANSAS CITY, MO 641121378

    Phone: (816) 569-2802

    Type: Mailing

  • 3989 E ARAPAHOE ROAD

    SUITE 120

    CENTENNIAL, CO 801227044

    Phone: (303) 740-2026

    Fax: (303) 770-5459

    Type: Mailing

  • 6143 S WILLOW DR STE 406

    GREENWOOD VILLAGE, CO 801115125

    Phone: (720) 926-0103

    Fax: (720) 547-1534

    Type: Mailing

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: 2017-06-06

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
I20170606000129IPhysical Therapist In Private PracticeCOTBD

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 64112)

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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: 7012438955View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA

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Frequently asked questions

What number should I use to identify KRISTIN NICOLE ANDERSON (PT, DPT, OCS, CLT) for billing?
Administrative and clinical systems typically use NPI 1851761191 for KRISTIN NICOLE ANDERSON (PT, DPT, OCS, CLT).
Does the public listing show KRISTIN NICOLE ANDERSON (PT, DPT, OCS, CLT) as active?
KRISTIN NICOLE ANDERSON (PT, DPT, OCS, CLT)'s NPI record reflects an active status in NPPES.
What does the directory say KRISTIN NICOLE ANDERSON (PT, DPT, OCS, CLT) does?
Insurance directories may phrase it differently, but here KRISTIN NICOLE ANDERSON (PT, DPT, OCS, CLT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to KRISTIN NICOLE ANDERSON (PT, DPT, OCS, CLT)?
The directory associates KRISTIN NICOLE ANDERSON (PT, DPT, OCS, CLT) with Kansas City, Missouri. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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