Kristin Ellen Hartman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001000153 Issued in NC

Practice address

7800 Providence Rd Ste 209
Charlotte, NC 28226-2986

Phone

(704) 544-7535

Fax

(704) 544-7570

NPI assigned

Apr 6, 2006

Last updated

Jan 29, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NC

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vascular Solutions PCGroup PAC ID 3971515271, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vascular Solutions PC

  • Vascular Surgery Physician
  • Charlotte, NC
  • NPI 1215973672
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1063474682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 PROVIDENCE RD STE 209",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282262986",
            "telephone_number": "704-544-7535",
            "fax_number": "704-544-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 PROVIDENCE RD STE 209",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282262986",
            "telephone_number": "704-544-7535",
            "fax_number": "704-544-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "KRISTIN",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001000153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler F Hartley, D.C.
• William Stuart Hartley, M.D.
• Tara Hartman-Gud
• Aaron Hartman, M.D.
• Karlie Brooks Hartman, PA-C
• Piper M Hartman
• Sarah Marie Hartman
• Timothy John Hartman, D.C.
• William R. Hartnagel, M.D.
• Katherine Neal Hartwell, CRNA

• Physician Assistant in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.