Individual provider Active NPI

Kendra A Stanton, NP

  • Women's Health Nurse Practitioner
  • Bowling Green, OH
National Provider Identifier
1073029518
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN.CNP.022253 Issued in OH
Practice address
1214 Ridgewood Dr
Bowling Green, OH 43402-2664
Phone
(419) 352-8427
NPI assigned
Dec 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 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 RN290977 OH
Women's Health Nurse Practitioner 363LW0102X APRN.CNP.022253 OH Primary

Addresses

Primary practice location

1214 Ridgewood Dr
Bowling Green, OH 43402-2664

Mailing address

745 Haskins Rd Ste B
Bowling Green, OH 43402-1600
Phone (419) 373-7607

Other identifiers 2

IdentifierTypeStateIssuer
0266819MedicaidOH
H625540OtherOHMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kendra.stanton.p2@direct.whc.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20180316000536 OH Practitioner - Nurse Practitioner 7012279714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wood County Womens Care of Bowling Green, LLCGroup PAC ID 0648260729, 7 clinicians

Practice addresses (Care Compare)

1214 Ridgewood Dr
Bowling Green, OH 43402-2664
Phone (419) 352-8427

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN290977OHMDRegistered Nurse
APRN.CNP.022253OHMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wood County Womens Care of Bowling Green, LLC CurrentSince May 1, 2018 Accepting new patients

Locations

1214 Ridgewood Dr
Bowling Green, OH 43402
Phone (419) 352-8427

745 Haskins Rd
Ste B
Bowling Green, OH 43402
Phone (419) 373-7607

L4285
Columbus, OH 43260

28442 E River Rd
Perrysburg, OH 43551
Phone (419) 872-3201

Interoperability endpoints

  • Direct secure messaging: kendra.stanton.p1@direct.whc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1073029518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 HASKINS RD STE B",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434021600",
            "telephone_number": "419-373-7607",
            "fax_number": "419-353-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 RIDGEWOOD DR",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022664",
            "telephone_number": "419-352-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANTON",
        "first_name": "KENDRA",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-20",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN290977",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "APRN.CNP.022253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0266819",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H625540",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kendra.stanton.p2@direct.whc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1214 Ridgewood Dr",
            "city": "Bowling Green",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434022664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

Verify at the official NPI Registry.