Individual provider Active NPI

Kristina Koutsoupis, MSN, APRN, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Delray Beach, FL
National Provider Identifier
1275378077
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN11033871 Issued in FL
Practice address
4675 Linton Blvd Ste 200
Delray Beach, FL 33445-6615
Phone
(561) 331-5050
NPI assigned
Jun 25, 2024
Last updated
Sep 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN11033871 FL Primary

Addresses

Primary practice location

4675 Linton Blvd Ste 200
Delray Beach, FL 33445-6615

Mailing address

5195 Majorca Club Dr
Boca Raton, FL 33486-8709
Phone (561) 414-5889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240828001859 FL Practitioner - Nurse Practitioner 4587103049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Flpmi, LLCGroup PAC ID 5991042640, 10 clinicians

Practice addresses (Care Compare)

13550 S Jog Rd
100 Cora Physical Therapy W Delray Beac
Delray Beach, FL 33446-3808
Phone (561) 496-5144

4675 Linton Blvd
Suite 200
Delray Beach, FL 33445-6615
Phone (561) 331-5050

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Flpmi, LLC CurrentSince Sep 15, 2024 Accepting new patients

Locations

2623 S Seacrest Blvd
Ste 108
Boynton Beach, FL 33435
Phone (561) 331-5050

4675 Linton Blvd
Ste 200
Delray Beach, FL 33445
Phone (561) 331-5050

11924 Forest Hill Blvd
Ste 10A138
Wellington, FL 33414

Interoperability endpoints

  • Direct secure messaging: kristina.koutsoupis.1@22989.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1275378077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5195 MAJORCA CLUB DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334868709",
            "telephone_number": "561-414-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 LINTON BLVD STE 200",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456615",
            "telephone_number": "561-331-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUTSOUPIS",
        "first_name": "KRISTINA",
        "credential": "MSN, APRN, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11033871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.