Individual provider Active NPI

Erin Kleismit, CNP

  • Acute Care Nurse Practitioner
  • Silver City, NM
National Provider Identifier
1346645744
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
COA.16756-NP Issued in OH
Practice address
1302 E 32ND St
Silver City, NM 88061-7215
Phone
(575) 538-4112
Fax
(575) 388-1791
NPI assigned
Oct 28, 2014
Last updated
Jul 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X COA.16756-NP OH Primary
Gerontology Nurse Practitioner 363LG0600X AP143695 TX
Registered Nurse 163W00000X RN.205419 OH

Addresses

Primary practice location

1302 E 32ND St
Silver City, NM 88061-7215

Mailing address

1302 E 32ND St
Silver City, NM 88061-7215
Phone (575) 538-4112

Other practice location 1

703 S Fleishel Ave Ste 4000
Tyler, TX 75701-2015
Phone (903) 606-7000

Other identifiers 1

IdentifierTypeStateIssuer
0119429MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NM, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150318000839 OH Practitioner - Nurse Practitioner 3678890324 Reassigns benefits to 1 organization
I20200401002653 NM Practitioner - Nurse Practitioner 3678890324 Reassigns benefits to 2 organizations
I20240808001560 TX Practitioner - Nurse Practitioner 3678890324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

800 E Dawson St
Christus Trinity Clinic
Tyler, TX 75701-2036
Phone (903) 510-1186

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
94.26
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
55.59 of 100Reported as individual
Quality
62.91
Promoting interoperability
0
Improvement activities
40
Cost
72.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.205419OHMDRegistered Nurse
AP143695TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc CurrentSince Feb 9, 2015 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Sep 23, 2024 Accepting new patients
Gila Regional Medical Center CurrentSince Jan 31, 2020 Accepting new patients
Gila Regional Medical Center Current Accepting new patients
Christus Trinity Clinic Texas CurrentSince Sep 23, 2024 Accepting new patients
Gila Regional Medical Center CurrentSince Jan 31, 2020 Accepting new patients
Premier Health Specialists Inc CurrentSince Feb 9, 2015 Accepting new patients

Locations

1302 E 32nd St
Silver City, NM 88061
Phone (575) 538-4112

1302 E 32nd St
Ste B
Silver City, NM 88061

3185 N Leslie Rd
Silver City, NM 88061
Phone (505) 388-3393

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

9000 N Main St
Ste 101
Englewood, OH 45415

3170 Kettering Blvd
Bldg 3
Moraine, OH 45439

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

703 S Fleishel Ave
Ste 4000
Tyler, TX 75701
Phone (903) 606-3000

Interoperability endpoints

  • Direct secure messaging: ekleismit393294@christushealth.direct-ci.net
  • FHIR API: https://api.platform.athenahealth.com/12922/brand/1/csg/1/fhir/r4

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 1

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": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1346645744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 E 32ND ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617215",
            "telephone_number": "575-538-4112",
            "fax_number": "575-388-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 E 32ND ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617215",
            "telephone_number": "575-538-4112",
            "fax_number": "575-388-1791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 S Fleishel Ave Ste 4000",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012015",
            "country_code": "US",
            "telephone_number": "903-606-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEISMIT",
        "first_name": "ERIN",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-28",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "COA.16756-NP",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP143695",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.205419",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119429",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver City, NM

Sources for this page

Verify at the official NPI Registry.