Individual provider Active NPI

Kristyn Haight, PA

  • Physician Assistant
  • Canal Winchester, OH
National Provider Identifier
1114387784
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50004457 Issued in OH
Practice address
710 W Waterloo St
Canal Winchester, OH 43110-1092
Phone
(614) 321-2581
NPI assigned
Feb 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50004457 OH Primary

Addresses

Primary practice location

710 W Waterloo St
Canal Winchester, OH 43110-1092

Mailing address

710 W Waterloo St
Canal Winchester, OH 43110-1092
Phone (614) 321-2581

Other names 1

  • Kristyn L Mueller Former name

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
I20160816001415 OH Practitioner - Physician Assistant 5799079661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Specialists, LLCGroup PAC ID 1850311010, 81 clinicians

Practice addresses (Care Compare)

1301 W 1St St
Springfield, OH 45504-1920
Phone (937) 322-6222

4300 Clime Rd
Suite 110
Columbus, OH 43228-6491
Phone (614) 729-8098

710 W Waterloo St
Canal Winchester, OH 43110-1092
Phone (614) 321-2581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Osu Internal Medicine, LLC Past Accepting new patients
Radiology Inc Past Accepting new patients
Ohio Emergency Professionals Inc Physician Assistant Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: khaight42309@altamed.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1114387784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 W WATERLOO ST",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431101092",
            "telephone_number": "614-321-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W WATERLOO ST",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431101092",
            "telephone_number": "614-321-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIGHT",
        "first_name": "KRISTYN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-25",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50004457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTYN",
            "last_name": "MUELLER",
            "middle_name": "L",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canal Winchester, OH

Sources for this page

Verify at the official NPI Registry.