Individual provider Active NPI

Krysta Michelle Junkins, CNM

  • Advanced Practice Midwife
  • Toledo, OH
National Provider Identifier
1255173126
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN.CNM.0019627 Issued in OH
Practice address
2150 W Central Ave Ste D
Toledo, OH 43606-3859
Phone
(419) 291-2192
NPI assigned
Jun 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal Newborn Registered Nurse 163WM0102X 409681 OH
Advanced Practice Midwife 367A00000X APRN.CNM.0019627 OH Primary

Addresses

Primary practice location

2150 W Central Ave Ste D
Toledo, OH 43606-3859

Mailing address

4941 Lynbridge LN
Toledo, OH 43614-2040

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241122002702 OH Practitioner - Certified Nurse Midwife (CNM) 6103351481 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Georgetown University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Toledo HospitalGroup PAC ID 2961309638, 118 clinicians
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000

2150 W Central Ave
Toledo, OH 43606-3852
Phone (419) 291-8701

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
409681OHMDMaternal Newborn Registered Nurse
APRN.CNM.0019627OHMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Sep 7, 2024 Accepting new patients
The Toledo Hospital CurrentSince Sep 7, 2024 Accepting new patients
Consultants in Laboratory Medicine of Greater Toledo Current Accepting new patients
The Toledo Hospital CurrentSince Sep 7, 2024 Accepting new patients
The Toledo Hospital Current Accepting new patients
Promedica Central Physicians CurrentSince Sep 7, 2024 Accepting new patients
Haematology-Oncology Associates of Ohio and Michigan PC Current Accepting new patients

Locations

2150 W Central Ave
Toledo, OH 43606
Phone (419) 291-2200

2150 W Central Ave
Ste D
Toledo, OH 43606
Phone (419) 291-2192

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

Interoperability endpoints

  • Direct secure messaging: kjunkins245010@direct.promedica.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 2

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": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1255173126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4941 LYNBRIDGE LN",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 W CENTRAL AVE STE D",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063859",
            "telephone_number": "419-291-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNKINS",
        "first_name": "KRYSTA",
        "middle_name": "MICHELLE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "OH",
            "license": "409681",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "APRN.CNM.0019627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.