Active NPI
Kristin McKenzie Hartman, NP-C
- Nurse Practitioner
- West Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 22273
- Practice address
- 222 E Medical LN Ste 101
West Columbia, SC 29169-4847 - Phone
- (803) 739-3660
- Fax
- (803) 739-3663
- NPI assigned
- Sep 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 22273 | SC | Primary |
Addresses
Primary practice location
222 E Medical LN Ste 101
West Columbia, SC 29169-4847
Mailing address
PO Box 6069
West Columbia, SC 29171-6069
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP5543 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | khartman90865@direct.lexmed.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 Knox Abbott Dr
Cayce, SC 29033-3323
Phone (803) 314-0660
2006 Augusta Hwy
Lexington, SC 29072-2208
Phone (803) 785-4747
222 E Medical LN
Suite 101
West Columbia, SC 29169-4850
Phone (803) 739-3660
2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 791-2460
3016 Longtown Commons Dr
Columbia, SC 29229-7849
338 E Columbia Ave
Leesville, SC 29070-9285
Phone (803) 332-4300
5535 Platt Springs Rd
Lexington, SC 29073-7519
Phone (803) 314-9510
557 Columbia Ave
Chapin, SC 29036-8324
565 Columbia Ave
Chapin, SC 29036-8324
76 Polo Rd
Columbia, SC 29223-2806
Phone (803) 699-7255
811 W Main St
Lexington, SC 29072-2500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22273 | SC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Lexington Health Inc | Current | Accepting new patients | |
| Lexington County Health Services District Inc | Current | Accepting new patients | |
| Curana Health of South Carolina PC | Current | Accepting new patients | |
| Lexington Health Inc | Current | Accepting new patients | |
| Lexington Health Inc | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Lexington County Health Services District, Inc. | Past | Accepting new patients |
Locations
2 Medical Park Rd
Ste 300
Columbia, SC 29203
Phone (803) 434-8800
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
3555 Harden Street Ext
Ste 300
Columbia, SC 29203
Phone (803) 434-6411
811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230
2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750
255 Midland Pkwy
Summerville, SC 29485
Phone (843) 821-5005
222 E Medical Ln
Ste 101
West Columbia, SC 29169
Phone (803) 739-3660
2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480
146 E Hospital Dr
Ste 530
West Columbia, SC 29169
Phone (803) 314-9740
Interoperability endpoints
- khartman90865@direct.lexmed.com
Organizations & group practices 8
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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- West Columbia, SC
- NPI 1710634753
-
- Internal Medicine Physician
- North Charleston, SC
- NPI 1316477896
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
-
- General Acute Care Hospital
- West Columbia, SC
- NPI 1356366314
-
- Urology Physician
- West Columbia, SC
- NPI 1568069888
-
- Internal Medicine Physician
- West Columbia, SC
- NPI 1942190988
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
-
- Urgent Care Clinic/Center
- Columbia, SC
- NPI 1396778056
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Columbia, SC
- NPI 1386241834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1164907853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6069",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291716069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 E MEDICAL LN STE 101",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291694847",
"telephone_number": "803-739-3660",
"fax_number": "803-739-3663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTMAN",
"first_name": "KRISTIN",
"middle_name": "MCKENZIE",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-27",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "22273",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP5543",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "khartman90865@direct.lexmed.com",
"affiliation": "N",
"address_1": "222 E Medical Ln Ste 101",
"city": "West Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "291694847",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.