Kristin Kikkert, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

5521 W Lincoln Hwy Ste 1a
Crown Point, IN 46307-1098

Phone

(219) 769-1362

Fax

(219) 769-8298

NPI assigned

Sep 12, 2022

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

Other names 1

• Kristin Waldkoetter Former name

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Indiana Sports and Medical Science Institute, PCGroup PAC ID 2860662517, 7 clinicians

Midwest Express Care 4 LLCGroup PAC ID 4284909615, 64 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Midwest Express Care 4 LLC

  dba Midwest Express Clinics

  • Urgent Care Clinic/Center
  • Hammond, IN
  • NPI 1629502810
  Medicare reassignment Care Compare group NPD
• Indiana Sports & Medical Science Institute, PC

  • Clinic/Center
  • Crown Point, IN
  • NPI 1609155290
  Medicare reassignment Care Compare group
• Midwest Express Care, Inc

  • Urgent Care Clinic/Center
  • Schererville, IN
  • NPI 1942642848
  Medicare reassignment
• Nwi Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Munster, IN
  • NPI 1043596703
  Medicare reassignment
• Midwest Express Care 4 LLC

  • Urgent Care Clinic/Center
  • Portage, IN
  • NPI 1962249839
  NPD
• The Methodist Hospitals, Inc

  dba Methodist Northlake Physicians

  • Internal Medicine Physician
  • Gary, IN
  • NPI 1720290349
  NPD (past)

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1497477004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 ELDERBERRY CIR",
            "city": "DEMOTTE",
            "state": "IN",
            "postal_code": "463108260",
            "telephone_number": "317-364-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5521 W LINCOLN HWY STE 1A",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463071098",
            "telephone_number": "219-769-1362",
            "fax_number": "219-769-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIKKERT",
        "first_name": "KRISTIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "WALDKOETTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abdul Waheed Khan, MD
• Tahir M Khokher, M.D.
• Jessica Ann Kibler, PTA
• Kaley Kiepura
• Nicole Kieta
• Kristin A Kilinski, FNP-BC
• Kim a Kessler DDS PC (Winfield Dental)
• Kim Simic MD Inc
• Suk Chul Kim, M.D.
• Yun Ju Kim, M.D.

• Medical Physician Assistant in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Medical Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.