Individual provider Active NPI

Kristen Keyser, NP-C

  • Family Nurse Practitioner
  • Carrollton, OH
National Provider Identifier
1437601291
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
020086 Issued in OH
Practice address
125 Canton Rd NW Ste a
Carrollton, OH 44615-1009
Phone
(330) 627-8163
NPI assigned
Oct 27, 2016
Last updated
Jan 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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 020086 OH Primary

Addresses

Primary practice location

125 Canton Rd NW Ste a
Carrollton, OH 44615-1009

Mailing address

125 Canton Rd. NW Suite a
Carrollton, OH 44615-8794
Phone (330) 627-8163

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
I20170705002862 OH Practitioner - Nurse Practitioner 4981973088 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springvale Health Centers,IncGroup PAC ID 4688616980, shared by 4 NPIs, 18 clinicians

Practice addresses (Care Compare)

155 Garland Dr SW
New Philadelphia, OH 44663-6300
Phone (330) 365-9192

204 S Bellevue Ave
Dover, OH 44622-9405
Phone (330) 365-1781

335 Oxford St
Dover, OH 44622-1970
Phone (330) 365-4600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
020086OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Springvale Health Centers,Inc CurrentSince Jan 23, 2025 Accepting new patients
Springvale Health Centers, Inc. CurrentSince Jan 23, 2025 Accepting new patients
Springvale Health Centers, Inc CurrentSince Mar 7, 2025 Accepting new patients

Locations

201 Hospital Dr
Dover, OH 44622
Phone (330) 343-6631

204 S Bellevue Ave
Dover, OH 44622
Phone (234) 801-4747

335 Oxford St
Dover, OH 44622
Phone (330) 343-6631

155 Garland Dr SW
New Philadelphia, OH 44663
Phone (330) 365-1781

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDGCDA

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 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": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1437601291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CANTON RD. NW SUITE A",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "446158794",
            "telephone_number": "330-627-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CANTON RD NW STE A",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "446151009",
            "telephone_number": "330-627-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYSER",
        "first_name": "KRISTEN",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "020086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, OH

Sources for this page

Verify at the official NPI Registry.