Chrystn Mary Petsas, FNP-C

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

026405 Issued in OH

Practice address

600 Kendal Dr
Oberlin, OH 44074-1900

Phone

(440) 775-0094

NPI assigned

May 30, 2020

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

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eliza Jennings at Home Home health agency, Olmsted Township, OH, CCN 368264
• Mercy Regional Medical Center Hospital, Lorain, OH, CCN 360172
• Mercy Allen Hospital Hospital, Oberlin, OH, CCN 361306
• Kendal at Oberlin Nursing home, Oberlin, OH, CCN 365956

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CCHBDA/Endpoint/CCHBDA

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.

• Kendal at Oberlin

  • Skilled Nursing Facility
  • Oberlin, OH
  • NPI 1194771543
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eliza Jennings Services Corporation

  • Home Health Agency
  • Olmsted TWP, OH
  • NPI 1467655944
  Care Compare affiliation
• Kendal at Oberlin

  • Skilled Nursing Facility
  • Oberlin, OH
  • NPI 1194771543

  Nursing home

  Care Compare affiliation
• Mercy Health-Allen Hospital LLC

  • Critical Access Hospital
  • Oberlin, OH
  • NPI 1801825997
  Care Compare affiliation
• Mercy Health-Regional Medical Center LLC

  • Clinical Medical Laboratory
  • Lorain, OH
  • NPI 1164971800

  Hospital

  Care Compare affiliation
• Mercy Health-Regional Medical Center LLC

  • General Acute Care Hospital
  • Lorain, OH
  • NPI 1245274950
  Care Compare affiliation

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

{
    "created_epoch": "1590796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1124642707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 KENDAL DR",
            "city": "OBERLIN",
            "state": "OH",
            "postal_code": "440741900",
            "telephone_number": "440-775-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 KENDAL DR",
            "city": "OBERLIN",
            "state": "OH",
            "postal_code": "440741900",
            "telephone_number": "440-775-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETSAS",
        "first_name": "CHRYSTN",
        "middle_name": "MARY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-30",
        "last_updated": "2025-09-11",
        "certification_date": "2020-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "OH",
            "license": "026405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE NUMBER",
            "identifier": "026405",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oberlin Pediatrics Inc
• Ohio CVS Stores LLC
• Gina Olszowy
• Brandy Jarie Palmer, PT, DPT
• Harry Francis Pepper III, PH.D.
• Physicians in Family Practice Inc
• Plum Creek Associates, Inc.
• Heather Prock
• Aliscia Pulito
• Richard Ray, M.D.

• Gerontology Registered Nurse in Oberlin, OH
• Providers in Oberlin, OH by specialty
• Gerontology Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.