Kirsten Suzanne Koffarnus, RN, MS, CPNP, APNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

4096-33 Issued in WI

Practice address

1000 Edgewood College Dr
Edgewood College Health Center
Madison, WI 53711-1997

Phone

(608) 663-8334

Fax

(608) 663-3394

NPI assigned

Aug 3, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Master of Science, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Edgewood College Health Services

  • Student Health Clinic/Center
  • Madison, WI
  • NPI 1437604691
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1043524937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EDGEWOOD COLLEGE DR",
            "address_2": "EDGEWOOD COLLEGE HEALTH CENTER",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111997",
            "telephone_number": "608-663-8334",
            "fax_number": "608-663-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EDGEWOOD COLLEGE DR",
            "address_2": "EDGEWOOD COLLEGE HEALTH CENTER",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111997",
            "telephone_number": "608-663-8334",
            "fax_number": "608-663-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOFFARNUS",
        "first_name": "KIRSTEN",
        "middle_name": "SUZANNE",
        "credential": "RN, MS, CPNP, APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WI",
            "license": "4096-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Alexander Koerten, PA-C
• Hannah Rose Koerten, M.A.
• Lindsey Koerten, PHARMD
• Erin Michele Koeser
• Elizabeth Koester
• Laura Koga
• Taylor Kohlbeck
• Lillilotte Kohler-Busch
• Elizabeth Susan Kohlhepp
• Miranda Kohli, MD

• Pediatric Nurse Practitioner in Madison, WI
• Providers in Madison, WI by specialty
• Pediatric Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.