DR. KRISTIN A. COLONNA (O.D.) – Optometrist, NPI 1053544668

DR. KRISTIN A. COLONNA (O.D.) is a healthcare provider. based in Marysville, Washington. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046.010190 (IL). The NPI Number for DR. KRISTIN A. COLONNA (O.D.) is 1053544668

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. KRISTIN A. COLONNA (O.D.)
NPI
1053544668
Phone
(360) 651-1550
Address
2335 172ND ST NE
Enumeration Date
29 August 2009
Last Update Date
5 April 2021

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
2065277100
Graduation Year
2008 (18 years ago)
PAC ID
8921225491
Group Practice PAC ID
9032022579
Professional Enrollment ID
I20140806001341
Address ID
WA981152152SE9800XNEXX400

Contacts

SOAP Endpoint
https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

1,098 OPTOMETRY in WA

Provider Addresses for DR. KRISTIN A. COLONNA (O.D.)

  • 2335 172ND ST NE

    MARYSVILLE, WA 982714753

    Phone: (360) 651-1550

    Type: Mailing

  • 1243 W Boughton Rd

    Bolingbrook, IL 604401509

    Phone: (630) 679-0900

    Type: Location

  • 4540, Cordata Parkway, Cordata, Bellingham, Whatcom County, Washington, 98226, United States

    STE 103

    BELLINGHAM, WA 982268059

    Phone: (630) 679-0900

    Type: Mailing

  • 1243, West Boughton Road, Bolingbrook, Will County, Illinois, 60440, United States

    BOLINGBROOK, IL 604401509

    Phone: (630) 679-0900

    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: 2014-08-06

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
I20140806001341IOptometryWATBD

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
92014Established patient complete exam of visual system1311$0
View full utilization report →

Insurance plans in this area (ZIP 98271)

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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: 9032022579View full group profile

Reviews

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Frequently asked questions

How is DR. KRISTIN A. COLONNA (O.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. KRISTIN A. COLONNA (O.D.) with NPI 1053544668.
Can I rely on DR. KRISTIN A. COLONNA (O.D.) being an active provider?
As of the registry snapshot, DR. KRISTIN A. COLONNA (O.D.) is marked active.
What is DR. KRISTIN A. COLONNA (O.D.)'s specialty?
The listing groups DR. KRISTIN A. COLONNA (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KRISTIN A. COLONNA (O.D.)?
DR. KRISTIN A. COLONNA (O.D.)'s geographic hint is Marysville, Washington in our summary view.
Is the information about DR. KRISTIN A. COLONNA (O.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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