Active NPI
Kristen N Pollock, D.O.
- Family Medicine Physician
- Van Wert, OH
National Provider Identifier
1366756975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 58.003579
- Practice address
- 1178 Professional Dr
Van Wert, OH 45891-2461 - Phone
- (419) 238-6251
- Fax
- (419) 232-2245
- NPI assigned
- Aug 6, 2010
- 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 Medicine Physician | 207Q00000X | 58.003579 | OH | Primary |
Addresses
Primary practice location
1178 Professional Dr
Van Wert, OH 45891-2461
Mailing address
1178 Professional Dr
Van Wert, OH 45891-2461
Phone (419) 238-6251
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0078520 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kristen.pollock@vwfp.directbygreenway.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ohio University, College of Osteopathic Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1178 Professional Dr
Van Wert, OH 45891-2461
Phone (419) 238-6251
Hospital & facility affiliations
- Fountain Park Home Care, LLC
- Community Health Professionals, Inc
- CHP Home Care & Hospice
- Van Wert County Hospital
- Lima Memorial Health System
- Van Wert Manor
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58.003579 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terrence L Johnson & Robert C Adams PTR | Family Medicine | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
1178 Professional Dr
Van Wert, OH 45891
Phone (419) 238-6251
Interoperability endpoints
- kristenpollock@vanwfamphy.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Van Wert, OH
- NPI 1356481584
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Van Wert, OH
- NPI 1336216712
-
- Community Based Hospice Care Agency
- Van Wert, OH
- NPI 1689741142
-
- Home Health Agency
- Van Wert, OH
- NPI 1871650994
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- General Acute Care Hospital
- Van Wert, OH
- NPI 1942267760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617580800000",
"number": "1366756975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1178 PROFESSIONAL DR",
"city": "VAN WERT",
"state": "OH",
"postal_code": "458912461",
"telephone_number": "419-238-6251",
"fax_number": "419-232-2245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1178 PROFESSIONAL DR",
"city": "VAN WERT",
"state": "OH",
"postal_code": "458912461",
"telephone_number": "419-238-6251",
"fax_number": "419-232-2245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLOCK",
"first_name": "KRISTEN",
"middle_name": "N",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-06",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "58.003579",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0078520",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kristen.pollock@vwfp.directbygreenway.com",
"affiliation": "N",
"endpointDescription": "direct email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1178 Professional Dr",
"city": "Van Wert",
"state": "OH",
"country_code": "US",
"postal_code": "458912461",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Van Wert, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.