Individual provider Active NPI

Kristen Leigh Minard, FNP-C

  • Family Nurse Practitioner
  • Lambertville, MI
National Provider Identifier
1023568342
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704325969 Issued in MI
Practice address
7575 Secor Rd
Lambertville, MI 48144-9624
Phone
(734) 856-1800
NPI assigned
Oct 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.019951 OH
Family Nurse Practitioner 363LF0000X 4704325969 MI Primary

Addresses

Primary practice location

7575 Secor Rd
Lambertville, MI 48144-9624

Mailing address

7575 Secor Rd Ste 143
Lambertville, MI 48144-9624
Phone (734) 856-1800

Other practice location 1

1050 Isaac Streets Dr
Suite 143
Oregon, OH 43616-3291
Phone (419) 696-8600

Other names 1

  • Kristen Bixler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170207002420 MI Practitioner - Nurse Practitioner 0840573341 Reassigns benefits to 2 organizations
I20170213002548 OH Practitioner - Nurse Practitioner 0840573341 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians-North LLCGroup PAC ID 2668522400, 131 clinicians
Mercy Health Physicians North Specialty Care LLCGroup PAC ID 1951707884, 345 clinicians

Practice addresses (Care Compare)

1050 Isaac Streets Dr
Suite 143
Oregon, OH 43616-8204
Phone (419) 251-3180

2735 Navarre Ave
Oregon, OH 43616-3275
Phone (419) 696-8600

7581 Secor Rd
Lambertville, MI 48144-9624
Phone (734) 856-6360

Hospital & facility affiliations

  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704325969MIMDFamily Nurse Practitioner
APRN.CNP.019951OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Medical Partners LLC Family Current Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Jan 23, 2017 Accepting new patients
Mercy Health Physicians-North LLC CurrentSince Jan 23, 2017 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

7581 Secor Rd
Lambertville, MI 48144
Phone (734) 854-1800

2815 Dustin Rd
Ste C
Oregon, OH 43616
Phone (419) 691-5716

2735 Navarre Ave
Oregon, OH 43616
Phone (419) 690-8273

1050 Issac Sts
Ste 143
Oregon, OH 43616
Phone (419) 251-3180

1103 Village Square Dr
Ste 100
Perrysburg, OH 43551
Phone (419) 872-3213

22 Turtle Creek Cir
Swanton, OH 43558
Phone (419) 825-5151

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

Interoperability endpoints

  • Direct secure messaging: kminard96813@direct.bsmhealth.org

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 and National Provider Directory roles.

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": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1023568342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 SECOR RD STE 143",
            "city": "LAMBERTVILLE",
            "state": "MI",
            "postal_code": "481449624",
            "telephone_number": "734-856-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 SECOR RD",
            "city": "LAMBERTVILLE",
            "state": "MI",
            "postal_code": "481449624",
            "telephone_number": "734-856-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Isaac Streets Dr",
            "address_2": "Suite 143",
            "address_purpose": "LOCATION",
            "city": "Oregon",
            "state": "OH",
            "postal_code": "436163291",
            "country_code": "US",
            "telephone_number": "419-696-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINARD",
        "first_name": "KRISTEN",
        "middle_name": "LEIGH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-11",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.019951",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704325969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "BIXLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lambertville, MI

Sources for this page

Verify at the official NPI Registry.