Individual provider Active NPI

Kristin A Patchell, NP

  • Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1083270771
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
25688 Issued in TN
Practice address
3805 Edwards Rd Ste 100
Cincinnati, OH 45209-1939
Phone
(513) 725-5432
NPI assigned
May 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 25688 TN Primary

Addresses

Primary practice location

3805 Edwards Rd Ste 100
Cincinnati, OH 45209-1939

Mailing address

415 S Riverside Dr
Elizabethton, TN 37643-4535
Phone (859) 640-9922

Other identifiers 1

IdentifierTypeStateIssuer
Q049894MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: kristin.patchell.1@29431.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1083270771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S RIVERSIDE DR",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376434535",
            "telephone_number": "859-640-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 EDWARDS RD STE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091939",
            "telephone_number": "513-725-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATCHELL",
        "first_name": "KRISTIN",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-17",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "25688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q049894",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.