NPIMap

Individual provider Active NPI

Kristine Renee Kaufman, CNP

  • Family Nurse Practitioner
  • Ottawa, OH
National Provider Identifier
1326098757
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.04561-NP Issued in OH
Practice address
1740 N Perry St
Suite a
Ottawa, OH 45875-1173
Phone
(419) 523-0012
Fax
(419) 523-3416
NPI assigned
May 10, 2006
Last updated
Oct 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.04561-NP OH Primary

Addresses

Primary practice location

1740 N Perry St
Suite a
Ottawa, OH 45875-1173

Mailing address

1740 N Perry St
Suite a
Ottawa, OH 45875-1173
Phone (419) 523-0012

Other identifiers 6

IdentifierTypeStateIssuer
P00472602OtherOHRAILROAD CARE
000000348925OtherOHANTHEM BC/BS
2362296MedicaidOH
P00204711OtherOHRAILROAD CARE
000000550636OtherOHANTHEM BC/BS
736264OtherOHBUCKEYE

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
I20041018000133 OH Practitioner - Nurse Practitioner 1759341449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blanchard Valley Medical Practice LLCGroup PAC ID 9234168147, 72 clinicians

Practice addresses (Care Compare)

1740 N Perry St
Ottawa, OH 45875-1173

1900 S Main St
Findlay, OH 45840-1214
Phone (419) 423-4500

3949 N Main St
Suite B
Findlay, OH 45840-4208
Phone (419) 423-3888

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.04561-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blanchard Valley Regional Health Center Current Accepting new patients
Blanchard Valley Regional Health Center CurrentSince Mar 1, 2020 Accepting new patients
Blanchard Valley Regional Health Center CurrentSince Mar 1, 2020 Accepting new patients
Blanchard Valley Medical Practice LLC Family CurrentSince Mar 1, 2008 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Putnam County Primary Care LLC Family Past Accepting new patients
Family Physicians of Lima Inc Past Accepting new patients

Locations

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

3949 N Main St
Ste B
Findlay, OH 45840
Phone (419) 423-3888

1740 N Perry St
Ste A
Ottawa, OH 45875
Phone (419) 523-0012

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444953600000",
    "number": "1326098757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 N PERRY ST",
            "address_2": "SUITE A",
            "city": "OTTAWA",
            "state": "OH",
            "postal_code": "458751173",
            "telephone_number": "419-523-0012",
            "fax_number": "419-523-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 N PERRY ST",
            "address_2": "SUITE A",
            "city": "OTTAWA",
            "state": "OH",
            "postal_code": "458751173",
            "telephone_number": "419-523-0012",
            "fax_number": "419-523-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "KRISTINE",
        "middle_name": "RENEE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2015-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.04561-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD CARE",
            "identifier": "P00472602",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000348925",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2362296",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD CARE",
            "identifier": "P00204711",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000550636",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE",
            "identifier": "736264",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, OH

Sources for this page

Verify at the official NPI Registry.