Individual provider Active NPI

Kristin L Goetz, APRN

  • Family Nurse Practitioner
  • Arlington, KS
National Provider Identifier
1255746384
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-76274-041 Issued in KS
Practice address
100 S Lincoln St
Arlington, KS 67514-1431
Phone
(620) 860-9490
Fax
(316) 395-1139
NPI assigned
Jun 26, 2014
Last updated
Sep 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-76274-041 KS Primary
Emergency Registered Nurse 163WE0003X 13-109121-041 KS

Addresses

Primary practice location

100 S Lincoln St
Arlington, KS 67514-1431

Mailing address

100 S Lincoln St
Arlington, KS 67514-1431
Phone (620) 860-9490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140729000308 KS Practitioner - Nurse Practitioner 4688890684 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19110 W Long View Rd
Abbyville, KS 67510-9416
Phone (620) 727-5990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13-109121-041KSMDEmergency Registered Nurse
53-76274-041KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stafford County Hospital CurrentSince Mar 30, 2021 Accepting new patients
Stafford County Hospital CurrentSince Mar 30, 2021 Accepting new patients
KG Medical LLC Emergency CurrentSince Nov 22, 2017 Accepting new patients
Cep America - Kansas LLC CurrentSince Jul 1, 2015 Accepting new patients
Cep America - Kansas LLC CurrentSince Jul 1, 2015 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

502 S Buckeye St
Stafford, KS 67578
Phone (620) 234-5221

14800 W Saint Teresa St
Wichita, KS 67235
Phone (316) 268-6976

3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426

Interoperability endpoints

  • Direct secure messaging: kristin.goetz.1@14974.direct.athenahealth.com
  • Direct secure messaging: kristin.goetz@115443077021700.direct.elationemr.com
  • Direct secure messaging: kristin.goetz@451989364932612.direct.elationemr.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1255746384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S LINCOLN ST",
            "city": "ARLINGTON",
            "state": "KS",
            "postal_code": "675141431",
            "telephone_number": "620-860-9490",
            "fax_number": "316-395-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S LINCOLN ST",
            "city": "ARLINGTON",
            "state": "KS",
            "postal_code": "675141431",
            "telephone_number": "620-860-9490",
            "fax_number": "316-395-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "KRISTIN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-76274-041",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "KS",
            "license": "13-109121-041",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, KS

Sources for this page

Verify at the official NPI Registry.