Individual provider Active NPI

Kristin Marie Page, ARNP

  • Family Nurse Practitioner
  • Bellingham, WA
National Provider Identifier
1992966436
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30008048 Issued in WA
Practice address
3111 Woburn St Ste 201
Bellingham, WA 98226-6610
Phone
(360) 734-1420
Fax
(360) 733-1659
NPI assigned
Jun 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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 AP30008048 WA Primary

Addresses

Primary practice location

3111 Woburn St Ste 201
Bellingham, WA 98226-6610

Mailing address

3111 Woburn St Ste 201
Bellingham, WA 98226-6610
Phone (360) 734-1420

Other identifiers 1

IdentifierTypeStateIssuer
9657818MedicaidWA

Other names 1

  • Kristin Marie Jeppesen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20080813000426 WA Practitioner - Nurse Practitioner 3779658570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Gastroenterology Professional LLCGroup PAC ID 9335052265, 13 clinicians

Practice addresses (Care Compare)

3111 Woburn St
Suite 201
Bellingham, WA 98226-6610
Phone (360) 734-1420

Hospital & facility affiliations

  • Peacehealth St Joseph Medical Center Hospital, Bellingham, WA, CCN 500030

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Gastroenterology Professional LLC CurrentSince Jan 1, 2018 Accepting new patients

Locations

3111 Woburn St
Ste 201
Bellingham, WA 98226
Phone (360) 543-5054

2979 Squalicum Pkwy
Ste 301
Bellingham, WA 98225
Phone (360) 734-1420

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1992966436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 WOBURN ST STE 201",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982266610",
            "telephone_number": "360-734-1420",
            "fax_number": "360-733-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 WOBURN ST STE 201",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982266610",
            "telephone_number": "360-734-1420",
            "fax_number": "360-733-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30008048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9657818",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "JEPPESEN",
            "middle_name": "MARIE",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.