NPIMap

Individual provider Active NPI

Kristen M. Byrne, PA-C

  • Physician Assistant
  • Broadview Heights, OH
National Provider Identifier
1245969401
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.007867RX Issued in OH
Practice address
130 Kimrose LN
Broadview Heights, OH 44147-1258
Phone
(440) 334-7806
NPI assigned
Jun 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.007867RX OH Primary

Addresses

Primary practice location

130 Kimrose LN
Broadview Heights, OH 44147-1258

Mailing address

1215 W 10TH St
Cleveland, OH 44113-1291
Phone (440) 334-7806

Other identifiers 2

IdentifierTypeStateIssuer
1198730OtherOHNCCPA BOARD CERTIFICATION
50.007867RXOtherOHOHIO MEDICAL LICENST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221129002471 OH Practitioner - Physician Assistant 0749658540 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716

Hospital & facility affiliations

  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • Lake Health Hospital, Concord, OH, CCN 360098
  • Uh Regional Hospitals Hospital, Chardon, OH, CCN 360075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.007867RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc CurrentSince Mar 1, 2025 Accepting new patients
University Hospitals Cleveland Medical Center CurrentSince Mar 1, 2025 Accepting new patients
Lake Hospital System, Inc CurrentSince Dec 19, 2022 Accepting new patients
University Hospitals Cleveland Medical Center Physician Assistant CurrentSince Mar 1, 2025 Accepting new patients
Lake Hospital System Inc CurrentSince Dec 19, 2022 Accepting new patients
Multicare Health System Physician Assistant Past Accepting new patients

Locations

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

11100 Euclid Ave
Cleveland Heights, OH 44106

10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656

36100 Euclid Ave
Ste 120
Willoughby, OH 44094
Phone (216) 951-8360

Interoperability endpoints

  • Direct secure messaging: kbyrne218485@ehrdirect.uhhospitals.org

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 6

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": "1654387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1245969401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 W 10TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441131291",
            "telephone_number": "440-334-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 KIMROSE LN",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441471258",
            "telephone_number": "440-334-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRNE",
        "first_name": "KRISTEN",
        "middle_name": "M.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-05",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007867RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA BOARD CERTIFICATION",
            "identifier": "1198730",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO MEDICAL LICENST",
            "identifier": "50.007867RX",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadview Heights, OH

Sources for this page

Verify at the official NPI Registry.