KRISTI VAN DOORN – Family Nurse Practitioner, NPI 1184222739

KRISTI VAN DOORN is a healthcare provider. based in Seattle, Washington. specializing in NURSE PRACTITIONER. They hold a License No. 60287078 (WA). The NPI Number for KRISTI VAN DOORN is 1184222739

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KRISTI VAN DOORN
NPI
1184222739
Phone
(425) 495-2103
Address
531 29TH AVE S
Enumeration Date
15 October 2020
Last Update Date
10 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2536978660
Graduation Year
2020 (6 years ago)
PAC ID
7719396621
Group Practice PAC ID
0749514735
Professional Enrollment ID
I20210505002408
Address ID
WA984444654TA14815SXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for KRISTI VAN DOORN

  • 531 29TH AVE S

    SEATTLE, WA 981442429

    Phone: (425) 495-2103

    Type: Mailing

  • 325 9TH AVE

    SEATTLE, WA 981042499

    Phone: (206) 744-3000

    Type: Location

  • 315 MARTIN LUTHER KING JR WAY

    TACOMA, WA 984054234

    Phone:

    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: 2021-05-05

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
I20210505002408INurse PractitionerWATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes9291$0
99203New patient office or other outpatient visit, 30-44 minutes5757$0
87636Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b3636$0
81003Automated urinalysis test1717$0
71046X-ray of chest, 2 views1414$0
View full utilization report →

Insurance plans in this area (ZIP 98144)

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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: 0749514735View full group profile
NameSpecialtyState
Emergency MedicineNY
-OR
Emergency MedicineCA
Emergency MedicineWA
Emergency MedicineWA
Emergency MedicineTX
Emergency MedicineWA
Emergency MedicineWA
Emergency MedicineOH
Emergency MedicineWA

Reviews

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Frequently asked questions

Is there an official ID for KRISTI VAN DOORN in U.S. healthcare records?
The official identifier for KRISTI VAN DOORN is NPI 1184222739.
Would KRISTI VAN DOORN appear as active to a payer?
You can treat KRISTI VAN DOORN as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with KRISTI VAN DOORN?
KRISTI VAN DOORN's record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with KRISTI VAN DOORN?
Directory geography for KRISTI VAN DOORN centers on Seattle, Washington.
When was this NPI issued?
Enumeration for KRISTI VAN DOORN is noted as October 15, 2020 where the registry provides it.

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