Individual provider Active NPI

Krista E Huber, PA-C

  • Surgical Physician Assistant
  • Saint Marys, OH
National Provider Identifier
1386259893
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
50.006542RX Issued in OH
Practice address
1140 S Knoxville Ave Ste C1
Saint Marys, OH 45885-2609
Phone
(419) 394-9595
Fax
(419) 394-9532
NPI assigned
Sep 11, 2020
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 50.006542RX OH Primary

Addresses

Primary practice location

1140 S Knoxville Ave Ste C1
Saint Marys, OH 45885-2609

Mailing address

1140 S Knoxville Ave Ste D
Saint Marys, OH 45885-2609
Phone (419) 300-1129

Other practice location 1

830 W Main St Ste A1E
Coldwater, OH 45828-1626
Phone (419) 394-9595

Other practice location 2

200 Saint Clair Ave Ste 102
Saint Marys, OH 45885-2400
Phone (419) 394-9512

Other identifiers 1

IdentifierTypeStateIssuer
0419061MedicaidOH

Other names 1

  • Krista E Burrows Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address khuber@glhs.allscriptsdirect.net Health Information Exchange (HIE) JTDM Family Practice LLC
Direct Messaging Address khuber@glhs.allscriptsdirect.net Health Information Exchange (HIE) JTDM Family Practice LLC
Direct Messaging Address khuber@glhs.allscriptsdirect.net Health Information Exchange (HIE) JTDM Family Practice LLC

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210104002116 OH Practitioner - Physician Assistant 9537572979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JTDM Family Practice LLCGroup PAC ID 2163415837, 48 clinicians

Practice addresses (Care Compare)

1140 S Knoxville Ave
Suite C1
Saint Marys, OH 45885-2609
Phone (419) 394-9595

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.44 of 100Reported as group
Quality
78
Promoting interoperability
96
Improvement activities
40
Cost
76.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.006542RXOHMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
JTDM Family Practice LLC CurrentSince Jul 27, 2023 Accepting new patients
Lima Memorial Joint Operating Company PastSince Jul 31, 2023 Accepting new patients
Joint Township District Memorial Hospital Past Accepting new patients

Locations

830 W Main St
Ste E1A
Coldwater, OH 45828
Phone (419) 394-9595

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

4463 State Route 66
Ste A
Minster, OH 45865
Phone (419) 628-3821

1040 Hager St
Saint Marys, OH 45885
Phone (419) 394-9959

1140 S Knoxville Ave
Ste C
Saint Marys, OH 45885
Phone (419) 394-9595

1140 S Knoxville Ave
Ste C1
Saint Marys, OH 45885
Phone (419) 394-9595

1140 S Knoxville Ave
Ste D
Saint Marys, OH 45885

200 Saint Clair Ave
Ste 102
Saint Marys, OH 45885
Phone (419) 394-9512

Interoperability endpoints

  • Direct secure messaging: khuber1121079@direct.osumc.edu
  • Direct secure messaging: kristahuber@glhs.allscriptsdirect.net

Organizations & group practices 3

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 2

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": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1386259893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 S KNOXVILLE AVE STE D",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852609",
            "telephone_number": "419-300-1129",
            "fax_number": "419-394-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 S KNOXVILLE AVE STE C1",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852609",
            "telephone_number": "419-394-9595",
            "fax_number": "419-394-9532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 W Main St Ste A1E",
            "address_purpose": "LOCATION",
            "city": "Coldwater",
            "state": "OH",
            "postal_code": "458281626",
            "country_code": "US",
            "telephone_number": "419-394-9595",
            "fax_number": "419-394-9532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Saint Clair Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Saint Marys",
            "state": "OH",
            "postal_code": "458852400",
            "country_code": "US",
            "telephone_number": "419-394-9512",
            "fax_number": "419-394-9589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBER",
        "first_name": "KRISTA",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50.006542RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0419061",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khuber@glhs.allscriptsdirect.net",
            "affiliation": "Y",
            "affiliationName": "JTDM Family Practice LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "830 W Main St Ste A1E",
            "city": "Coldwater",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458281626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khuber@glhs.allscriptsdirect.net",
            "affiliation": "Y",
            "affiliationName": "JTDM Family Practice LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "200 Saint Clair Ave Ste 102",
            "city": "Saint Marys",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458852400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khuber@glhs.allscriptsdirect.net",
            "affiliation": "Y",
            "affiliationName": "JTDM Family Practice LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1140 S Knoxville Ave Ste C",
            "city": "Saint Marys",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458852609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "BURROWS",
            "middle_name": "E",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Marys, OH

Sources for this page

Verify at the official NPI Registry.