Individual provider Active NPI

Kiristan Dials, FNP-C

  • Family Nurse Practitioner
  • Pikeville, KY
National Provider Identifier
1124752282
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016089 Issued in KY
Practice address
911 Bypass Rd BLDG a
Pikeville, KY 41501-1602
Phone
(606) 430-2206
Fax
(606) 218-7506
NPI assigned
Jul 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3016089 KY Primary

Addresses

Primary practice location

911 Bypass Rd BLDG a
Pikeville, KY 41501-1602

Mailing address

PO Box 432
Pikeville, KY 41502-0432
Phone (606) 430-2206

Other practice location 1

713 Broadway St Ste 301
Paintsville, KY 41240-1613
Phone (606) 372-1234

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL MY.ECLINICALWORKS.COM
Direct Messaging Address kdials50935@PIKEVILLEKYDIRECT.ORG Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220917000320 KY Practitioner - Nurse Practitioner 1254716822 Reassigns benefits to 4 organizations
I20230725000924 WV Practitioner - Nurse Practitioner 1254716822 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Three Rivers Medical Clinics Inc 30 clinicians
Racine Observation Medical Group, PLLC 19 clinicians

Practice addresses (Care Compare)

2483 Hwy 644
Louisa, KY 41230-9242

2483 Hwy 644 102
Louisa, KY 41230-9242
Phone (606) 638-7488

2483 Hwy 644 104
Louisa, KY 41230-9242
Phone (606) 638-7288

2483 Hwy 644 107
Louisa, KY 41230-9242
Phone (606) 638-1154

2483 Hwy 644 201
Louisa, KY 41230-9242
Phone (606) 638-9404

2485 Hwy 644
Louisa, KY 41230-9242
Phone (606) 638-1154

2900 1St Ave
Huntington, WV 25702-1241
Phone (304) 526-1234

94 Boardwalk St
Inez, KY 41224-7003
Phone (606) 296-2660

Hospital & facility affiliations

  • St Marys Medical Center Hospital, Huntington, WV, CCN 510007
  • Three Rivers Medical Center Hospital, Louisa, KY, CCN 180128

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
81.47
Promoting interoperability
100
Improvement activities
40
Cost
81.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Williamson Emergency Physicians LLC CurrentSince Sep 1, 2024 Accepting new patients
Racine Observation Medical Group, PLLC CurrentSince Jun 8, 2023 Accepting new patients
Samaritan Family Care LLC Family CurrentSince Aug 1, 2022 Accepting new patients
Frontier Medical Associates of Paintsville Inc Family CurrentSince Aug 1, 2022 Accepting new patients
Pikeville Medical Center Inc CurrentSince Apr 1, 2024 Accepting new patients
Three Rivers Medical Clinics Inc Family CurrentSince Oct 1, 2024 Accepting new patients
Three Rivers Medical Clinics Inc CurrentSince Oct 1, 2024 Accepting new patients
Pikeville Medical Center Inc. CurrentSince Apr 1, 2024 Accepting new patients
Allied West Virginia Emergency Physicians PLLC CurrentSince Jun 10, 2023 Accepting new patients
Pikeville Medical Center Inc Past Accepting new patients

Locations

94 Boardwalk
#1
Inez, KY 41224
Phone (606) 296-2660

64 Kirk Plz
Inez, KY 41224
Phone (606) 298-2520

2483 Highway 644
Ste 107
Louisa, KY 41230
Phone (606) 638-1154

713 Broadway St
Ste 301A
Paintsville, KY 41240
Phone (606) 372-1234

713 Broadway St
Ste 301B
Paintsville, KY 41240
Phone (606) 372-1234

713 Broadway St
Ste 301
Paintsville, KY 41240
Phone (606) 372-1234

911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201

184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213

260 Hospital Dr
South Williamson, KY 41503
Phone (606) 237-1700

260 Hospital Dr
Ste 1
South Williamson, KY 41503
Phone (606) 237-1700

1408 Campbell Dr
Ironton, OH 45638
Phone (740) 533-9710

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

Interoperability endpoints

  • Direct secure messaging: kdials50935@pikevillekydirect.org
  • Direct secure messaging: kiristan.dials.1@1954.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1124752282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415020432",
            "telephone_number": "606-430-2206",
            "fax_number": "606-218-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 BYPASS RD BLDG A",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011602",
            "telephone_number": "606-430-2206",
            "fax_number": "606-218-7506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "713 Broadway St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Paintsville",
            "state": "KY",
            "postal_code": "412401613",
            "country_code": "US",
            "telephone_number": "606-372-1234",
            "fax_number": "606-372-1240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIALS",
        "first_name": "KIRISTAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MY.ECLINICALWORKS.COM",
            "affiliation": "N",
            "address_1": "713 Broadway St Ste 301",
            "city": "Paintsville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "412401613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdials50935@PIKEVILLEKYDIRECT.ORG",
            "affiliation": "N",
            "endpointDescription": "Direct address for ccda",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard Direct Functionality",
            "address_1": "911 Bypass Rd Bldg A",
            "city": "Pikeville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "415011602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

Verify at the official NPI Registry.