KRISTA J BURCKHARDT (CNM, FNP-C) – Midwife, NPI 1205583812
Midwife
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
231 CERTIFIED NURSE MIDWIFE (CNM) in WA
Provider Addresses for KRISTA J BURCKHARDT (CNM, FNP-C)
101 N MAIN ST
COUPEVILLE, WA 982393413
Phone:
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2024-11-12
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 |
|---|---|---|---|---|
| I20220503000975 | I | Nurse Practitioner | WA | TBD |
| I20241112003392 | I | Certified Nurse Midwife (Cnm) | WA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98239)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| - | WA | |
| Clinical Social Worker | WA | |
| Diagnostic Radiology, Interventional Radiology | WA | |
| Diagnostic Radiology | AK | |
| Physician Assistant | TN | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | CO | |
| Emergency Medicine | WA | |
| Nurse Practitioner | WA |
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