Individual provider Active NPI

Kristin McKenzie Hartman, NP-C

  • Nurse Practitioner
  • West Columbia, SC
National Provider Identifier
1164907853
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
22273 Issued in SC
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

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NP5543MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181212003714 SC Practitioner - Nurse Practitioner 9133464555 Reassigns benefits to 3 organizations

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
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

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

LicenseStateTypeSpecialty
22273SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands CurrentSince Nov 19, 2018 Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Curana Health of South Carolina PC CurrentSince Jun 2, 2021 Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Lexington Health Inc Current Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Nov 19, 2018 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.