Individual provider Active NPI

Kristen J Bockenstedt, ARNP

  • Family Nurse Practitioner
  • Cedar Rapids, IA
National Provider Identifier
1275617854
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
89760 Issued in IA
Practice address
75 Short Street
Cedar Rapids, IA 52405
Phone
(319) 390-3223
Fax
(319) 390-7532
NPI assigned
Oct 24, 2006
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 89760 IA Primary

Addresses

Primary practice location

75 Short Street
Cedar Rapids, IA 52405

Mailing address

300 North Chestnut Street
Edgewood, IA 52042
Phone (563) 920-7400

Other names 1

  • Kristen J Wagaman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20061214000213 IA Practitioner - Nurse Practitioner 1850390139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Rehabilitation Associates LLCGroup PAC ID 2961443072, 275 clinicians
Mercy Physician Associates IncGroup PAC ID 1355242496, 103 clinicians

Practice addresses (Care Compare)

1130 S Scott Blvd
Suite 1
Iowa City, IA 52240-2909
Phone (319) 354-2429

75 Short St NW
Cedar Rapids, IA 52405-4203
Phone (319) 396-6313

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
89760IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Physician Associates, Inc CurrentSince Mar 1, 2017 Accepting new patients
Mercy Physician Associates, Inc Current Accepting new patients
Mercy Physician Associates Inc CurrentSince Mar 1, 2017 Accepting new patients
Mercy Physician Associates, Inc Past Accepting new patients

Locations

5264 Council St NE
Ste 100
Cedar Rapids, IA 52402
Phone (319) 221-8444

75 Short St NW
Cedar Rapids, IA 52405
Phone (319) 396-3395

1790 Blairs Ferry Rd
Hiawatha, IA 52233
Phone (319) 378-8362

300 W May St
Marengo, IA 52301
Phone (319) 462-8011

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.

Hospital & facility affiliations 1

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1275617854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NORTH CHESTNUT STREET",
            "city": "EDGEWOOD",
            "state": "IA",
            "postal_code": "52042",
            "telephone_number": "563-920-7400",
            "fax_number": "319-390-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SHORT STREET",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52405",
            "telephone_number": "319-390-3223",
            "fax_number": "319-390-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCKENSTEDT",
        "first_name": "KRISTEN",
        "middle_name": "J",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "89760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "WAGAMAN",
            "middle_name": "J",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.