Individual provider Active NPI

Kristen Starr Kosinski, NP

  • Family Nurse Practitioner
  • Goodlettsville, TN
National Provider Identifier
1922756360
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31371 Issued in TN
Practice address
3012 Business Park Cir Ste 100
Goodlettsville, TN 37072-3189
Phone
(615) 851-6033
NPI assigned
Mar 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 212507 TN
Family Nurse Practitioner 363LF0000X 31371 TN Primary

Addresses

Primary practice location

3012 Business Park Cir Ste 100
Goodlettsville, TN 37072-3189

Mailing address

3012 Business Park Cir Ste 100
Goodlettsville, TN 37072-3189
Phone (615) 851-6033

Other names 1

  • Kristen Peek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20220727000926 TN Practitioner - Nurse Practitioner 2264814029 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adi Radiology PCGroup PAC ID 7911236427, 153 clinicians

Practice addresses (Care Compare)

28 White Bridge Rd
Nashville, TN 37205-1466
Phone (615) 356-3999

Merit-based Incentive Payment System (MIPS)

Final score
92.41 of 100Reported as group
Quality
91.07
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
212507TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Adi Radiology PC CurrentSince Jul 1, 2022 Accepting new patients
Radiology Alliance PC CurrentSince Jan 1, 2026 Accepting new patients
Nol, LLC Family CurrentSince Jul 1, 2022 Accepting new patients

Locations

3012 Business Park Cir
Ste 100
Goodlettsville, TN 37072
Phone (615) 239-2046

1210 Briarville Rd
Bldg F602
Madison, TN 37115
Phone (615) 773-7237

2323 Crestmoor Rd
Nashville, TN 37215

210 25th Ave N
Ste 1204
Nashville, TN 37203
Phone (615) 312-1479

28 White Bridge Pike
Ste 104
Nashville, TN 37205

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1922756360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 BUSINESS PARK CIR STE 100",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723189",
            "telephone_number": "615-851-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 BUSINESS PARK CIR STE 100",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723189",
            "telephone_number": "615-851-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSINSKI",
        "first_name": "KRISTEN",
        "middle_name": "STARR",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "212507",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "PEEK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Goodlettsville, TN

Sources for this page

Verify at the official NPI Registry.