Individual provider Active NPI

Kristine Plotts, APRN

  • Family Nurse Practitioner
  • Newark, OH
National Provider Identifier
1184895567
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.09629 Issued in OH
Practice address
1865 Tamarack Rd
Newark, OH 43055-2305
Phone
(220) 564-4972
Fax
(220) 564-4991
NPI assigned
Mar 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X COA.09629-NP OH
Pediatric Nurse Practitioner 363LP0200X APRN.CNP.09629 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.09629 OH Primary

Addresses

Primary practice location

1865 Tamarack Rd
Newark, OH 43055-2305

Mailing address

1865 Tamarack Rd
Newark, OH 43055-2305
Phone (220) 564-4972

Other practice location 1

4101 Summit Rd SW
Pataskala, OH 43062-8844
Phone (220) 564-7830

Other identifiers 1

IdentifierTypeStateIssuer
3014624MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kplotts136526@direct.ohiohealth.com OhioHealth Physician Group
Direct Messaging Address kplotts33990@lickingmemorial.medicity.net

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
I20080508000003 OH Practitioner - Nurse Practitioner 3072692672 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth Urgent Care LLCGroup PAC ID 3476733700, 129 clinicians

Practice addresses (Care Compare)

1320 W Main St
Licking Memorial Anesthesiology
Newark, OH 43055-1822
Phone (220) 564-4226

6905 Hospital Dr
Suite 130
Dublin, OH 43016-9600
Phone (614) 923-0300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.16 of 100Reported as group
Quality
79.15
Promoting interoperability
100
Improvement activities
40
Cost
74.72

Merit-based Incentive Payment System (MIPS)

Final score
85.98 of 100Reported as group
Quality
75.66
Promoting interoperability
100
Improvement activities
40
Cost
75.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.09629-NPOHMDNurse Practitioner
APRN.CNP.09629OHMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Urgent Care LLC CurrentSince Apr 9, 2018 Accepting new patients
Licking Memorial Health Professionals CurrentSince Jul 5, 2023 Accepting new patients
Mount Carmel Health System Current Accepting new patients
Licking Memorial Professional Corporation CurrentSince Jul 5, 2023 Accepting new patients
Immediate Health Associates Past Accepting new patients
Licking Memorial Professional Corp. Past Accepting new patients
Licking Memorial Professional Corp. Past Accepting new patients

Locations

Dept L3652
Columbus, OH 43260

6905 Hospital Dr
Ste 130
Dublin, OH 43016
Phone (614) 923-0300

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

1865 Tamarack Rd
Newark, OH 43055
Phone (220) 564-4972

1320 W Main St
Newark, OH 43055
Phone (740) 348-4151

120 McMillen Dr
Newark, OH 43055
Phone (220) 564-4806

477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808

500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1184895567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 TAMARACK RD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552305",
            "telephone_number": "220-564-4972",
            "fax_number": "220-564-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 TAMARACK RD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552305",
            "telephone_number": "220-564-4972",
            "fax_number": "220-564-4991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4101 Summit Rd SW",
            "address_purpose": "LOCATION",
            "city": "Pataskala",
            "state": "OH",
            "postal_code": "430628844",
            "country_code": "US",
            "telephone_number": "220-564-7830",
            "fax_number": "220-564-7831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLOTTS",
        "first_name": "KRISTINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-13",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.09629-NP",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "APRN.CNP.09629",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.09629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3014624",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kplotts136526@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "6905 Hospital Dr",
            "address_2": "Ste 130",
            "city": "Dublin",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430169600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kplotts33990@lickingmemorial.medicity.net",
            "affiliation": "N",
            "address_1": "4101 Summit Rd SW",
            "city": "Pataskala",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430628844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.