Kristen D Anderson, PA-C
Individual provider Active NPI Surgical Physician Assistant · Columbus, OH
NPI 1295797496 · NPPES record last updated Jan 25, 2022
Key facts
- NPI
- 1295797496
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- 50-001317 (OH)
- Practice address
- 931 Chatham LN
Columbus, OH 43221-2417 - Phone
- (614) 533-5500
- Fax
- (614) 533-5593
- NPI assigned
- Apr 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ohiohealth Corporation
Practice addresses (Care Compare)
1010 Refugee Rd
Pickerington, OH 43147-9653
1030 Refugee Rd
Suite 300
Pickerington, OH 43147-9653
Phone (614) 566-2286
3535 Olentangy River Rd
Columbus, OH 43214-3908
393 E Town St
Columbus, OH 43215-4799
Hospital & facility affiliations
- Riverside Methodist Hospital
- Grady Memorial Hospital
- Grant Medical Center
- Dublin Methodist Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.04 of 100
- Quality
- 58.67
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.46
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050302000130 | OH | Practitioner - Physician Assistant | 8123071164 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50-001317 | OH | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohiohealth Corporation | Current |
Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Ohio Heart Thoracic and Vascular Surgery, Inc. | Past | Accepting new patients |
Locations
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
3555 Olentangy River Rd
Ste 2001
Columbus, OH 43214
111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232
931 Chatham Ln
Ste 301
Columbus, OH 43221
Phone (614) 457-3001
931 Chatham Ln
Columbus, OH 43221
Phone (614) 451-3643
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 50-001317 | OH | Yes |
Addresses
Primary practice location
931 Chatham LN
Columbus, OH 43221-2417
Mailing address
5350 Frantz Rd
Dublin, OH 43016-4259
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0068046 | Medicaid | OH |
Other names
- Kristen D Girardi
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kanderson32124@direct.ohiohealth.com | OhioHealth Physician Group |
Other providers in Columbus, OH
- Kathleen Anderson
- Kathryn Anderson
- Kaylin Anderson
- Kelly L Anderson
- Kevin J Anderson
- Laqueasha Yvette Anderson
- Latosha Anderson
- Leigh Staebell Anderson
- Lenora Anderson
- Lujuan Anderson
All providers in Columbus, OH · Surgical Physician Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.