Individual provider Active NPI

Kristen S Morey, CPNP

  • Pediatric Nurse Practitioner
  • Mount Vernon, OH
National Provider Identifier
1164837704
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN.CNP.16104 Issued in OH
Practice address
10 Woodlake TRL Ste C
Mount Vernon, OH 43050-9573
Phone
(740) 392-7337
Fax
(740) 392-7333
NPI assigned
Jun 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APRN.CNP.16104 OH Primary

Addresses

Primary practice location

10 Woodlake TRL Ste C
Mount Vernon, OH 43050-9573

Mailing address

10 Woodlake TRL Ste C
Mount Vernon, OH 43050-9573
Phone (740) 392-7337

Other practice location 1

29 N Clayton St Ste A
Centerburg, OH 43011-7059
Phone (740) 625-5326

Other practice location 2

700 W Cherry St
Sunbury, OH 43074-8011
Phone (740) 625-5326

Other identifiers 1

IdentifierTypeStateIssuer
0107015MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristen.moreycpnp.p26@direct.ahni.nextgenshare.com Direct

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
I20220822003588 OH Practitioner - Nurse Practitioner 6002299146 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Community Practices, LLC CurrentSince May 12, 2022 Accepting new patients

Locations

1264 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-6801

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

10 Woodlake Trl
Ste C
Mount Vernon, OH 43050
Phone (740) 392-7337

Interoperability endpoints

  • Direct secure messaging: kristen.moreycpnp.p26@direct.ahni.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1164837704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WOODLAKE TRL STE C",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430509573",
            "telephone_number": "740-392-7337",
            "fax_number": "740-392-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WOODLAKE TRL STE C",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430509573",
            "telephone_number": "740-392-7337",
            "fax_number": "740-392-7333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 N Clayton St Ste A",
            "address_purpose": "LOCATION",
            "city": "Centerburg",
            "state": "OH",
            "postal_code": "430117059",
            "country_code": "US",
            "telephone_number": "740-625-5326",
            "fax_number": "740-625-5965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 W Cherry St",
            "address_purpose": "LOCATION",
            "city": "Sunbury",
            "state": "OH",
            "postal_code": "430748011",
            "country_code": "US",
            "telephone_number": "740-625-5326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOREY",
        "first_name": "KRISTEN",
        "middle_name": "S",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "APRN.CNP.16104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0107015",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristen.moreycpnp.p26@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "10 Woodlake Trl Ste C",
            "city": "Mount Vernon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430509573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

Verify at the official NPI Registry.