Individual provider Active NPI

Kristin Michelle Mohler, CRNP

  • Family Nurse Practitioner
  • Butler, PA
National Provider Identifier
1255850251
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP017958 Issued in PA
Practice address
353 N. Duffy Rd
Butler, PA 16001
Phone
(878) 271-6024
NPI assigned
Sep 12, 2017
Last updated
May 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X PENDING PA
Family Nurse Practitioner 363LF0000X SP017958 PA Primary

Addresses

Primary practice location

353 N. Duffy Rd
Butler, PA 16001

Mailing address

353 N. Duffy Rd
Butler, PA 16001
Phone (878) 271-6024

Other practice location 1

1 Hospital Way
Butler, PA 16001-4670
Phone (724) 283-6666

Other names 1

  • Kristin Michelle Baronetski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PENDINGPAMDAnatomic Pathology & Clinical Pathology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1255850251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 N. DUFFY RD",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "16001",
            "telephone_number": "878-271-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 N. DUFFY RD",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "16001",
            "telephone_number": "878-271-6024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Hospital Way",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "PA",
            "postal_code": "160014670",
            "country_code": "US",
            "telephone_number": "724-283-6666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHLER",
        "first_name": "KRISTIN",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "BARONETSKI",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.