Active NPI
Kristin R Youther, FNP-BC
- Family Nurse Practitioner
- Princeton, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 58892
- Practice address
- 702 Stafford Dr
Princeton, WV 24740-2406 - Phone
- (304) 425-0085
- Fax
- (304) 487-6993
- NPI assigned
- Jul 11, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 58892 | WV | Primary |
Addresses
Primary practice location
702 Stafford Dr
Princeton, WV 24740-2406
Mailing address
702 Stafford Dr
Princeton, WV 24740-2406
Phone (304) 425-0085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130529000635 | WV | Practitioner - Nurse Practitioner | 7517105786 | Reassigns benefits to 1 organization |
| I20170522002357 | VA | Practitioner - Nurse Practitioner | 7517105786 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prime Care 12 Priority Health Inc
Practice addresses (Care Compare)
702 Stafford Dr
Princeton, WV 24740-2406
Phone (304) 425-0085
Hospital & facility affiliations
- Princeton Community Hospital Assn Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Urgent Care, PC - Virginia | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Virginia | Current | Accepting new patients | |
| Prime Care 12 Priority Health Inc. | Current | Accepting new patients | |
| East River Medical, PLLC | Family | Past | Accepting new patients |
| Prime-Care 12, Inc | Past | Accepting new patients |
Locations
4003 College Ave
#B
Bluefield, VA 24605
Phone (276) 322-2085
1336 W Main St
Salem, VA 24153
Phone (540) 389-0374
423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510
702 Stafford Dr
Princeton, WV 24740
Phone (304) 425-0085
Interoperability endpoints
- kyouther@primecare12.directbygreenway.com
- kryouthe@yourcarecommunity.org
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Richmond, VA
- NPI 1225563679
-
- Family Medicine Physician
- Princeton, WV
- NPI 1396843199
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Princeton, WV
- NPI 1558313213
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738713600000",
"number": "1265797724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 STAFFORD DR",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247402406",
"telephone_number": "304-425-0085",
"fax_number": "304-487-6993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 STAFFORD DR",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247402406",
"telephone_number": "304-425-0085",
"fax_number": "304-487-6993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUTHER",
"first_name": "KRISTIN",
"middle_name": "R",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-11",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "58892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.