Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristin M Koetter, APRN

Individual provider Nurse Practitioner · NPI 1821053075

Kristin M Koetter, APRN is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2000, 26 years ago. Practices with Community Medical Associates Inc, a 1,365-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana and Kentucky.

Years since qualifying
26
Licensed in
IN, KY
In the registry since
2006
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

4123 Dutchmans Ln Ste 101
Louisville, KY 40207-4718
Phone: (502) 899-6782
Fax: (502) 899-6783
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3003247 (KY)
Nurse Practitioner Taxonomy 363L00000X · Licence 3247P (KY)
Nurse Practitioner Taxonomy 363L00000X · Licence 71001123A (IN)

Record details

NPI number1821053075
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedApril 19, 2006
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Community Medical Associates Inc — 1365 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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