Crystal Uptain, CNM

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

APRN.CNP.024836 Issued in OH

Practice address

151 Parkview Dr
Millersburg, OH 44654-8949

Phone

(330) 674-2822

Fax

(330) 674-1200

NPI assigned

Feb 1, 2018

Last updated

Apr 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH2 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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: crystaluptain@hfmi.allscriptsdirect.net
• Direct secure messaging: crystaluptain@hphc.allscriptsdirect.net
• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10052317

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.

• Holmes Family Medicine, Inc

  • Family Medicine Physician
  • Millersburg, OH
  • NPI 1831200773
  Medicare reassignment NPD
• Health Professionals of Holmes County, Inc

  dba Pomerene OB/GYN Services

  • Specialist
  • Sugarcreek, OH
  • NPI 1083897060
  Medicare reassignment
• Health Professionals of Holmes County, Inc

  dba Pomerene Medical Center East

  • Urgent Care Clinic/Center
  • Millersburg, OH
  • NPI 1528726296
  NPD
• Wooster Obstetrics & Gynecology Inc

  dba Wooster OB/Gyn

  • Obstetrics & Gynecology Physician
  • Wooster, OH
  • NPI 1003807470
  NPD
• Pomerene Hospital

  • Critical Access Hospital
  • Millersburg, OH
  • NPI 1770957185
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1407355746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 WOOSTER RD",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446541536",
            "telephone_number": "330-674-1015",
            "fax_number": "330-763-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 PARKVIEW DR",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446548949",
            "telephone_number": "330-674-2822",
            "fax_number": "330-674-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPTAIN",
        "first_name": "CRYSTAL",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "APRN.CNP.024836",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "OH",
            "license": "APRN.CNM.019359",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri-County Anesthesia Inc
• Joanna Troyer, PHARMD
• Mikala Troyer, FNP-BC
• Kati Tuitama, LSW
• Kia Laine Tyler
• John A Vaccariello, MD
• Alaina C Vogel, CCC-SLP
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1724)
• Wal-Mart Stores East, LP (Vision Center 30-1724)
• Bradley Dale Walker, DC

• Women's Health Nurse Practitioner in Millersburg, OH
• Providers in Millersburg, OH by specialty
• Women's Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.