Active NPI
Christopher Ryan Hymer, APRN
- Family Nurse Practitioner
- Kettering, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0028634
- Practice address
- 3119 E Millstone Dr
Kettering, OH 45420-1188 - Phone
- (513) 720-9815
- NPI assigned
- Apr 26, 2021
- Last updated
- Oct 21, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4018982 | KY | |
| Family Nurse Practitioner | 363LF0000X | SP030965 | PA | |
| Family Nurse Practitioner | 363LF0000X | 71015771A | IN | |
| Family Nurse Practitioner | 363LF0000X | 0028634 | OH | Primary |
Addresses
Primary practice location
3119 E Millstone Dr
Kettering, OH 45420-1188
Mailing address
3119 E Millstone Dr
Kettering, OH 45420-1188
Phone (513) 720-9815
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY, PA, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71015771A | IN | MD | Family Nurse Practitioner |
| 4018982 | KY | MD | Family Nurse Practitioner |
| 0028634 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Encore Clinical Services LLC | Family | Current | Accepting new patients |
| Encore Wound Care - Kentucky, LLC | Current | Accepting new patients | |
| Ohio Wound Care Associates LLC | Current | Accepting new patients | |
| Encore Wound Care - Indiana LLC | Current | Accepting new patients | |
| Lake Effect Health | Current | Accepting new patients | |
| Cleveland Surgical Associates, Inc. | Current | Accepting new patients | |
| Encore Clinical Services - PA LLC | Current | Accepting new patients | |
| Lake Effect Health | Past | Accepting new patients |
Locations
5635 W 96th St
Ste 300B
Indianapolis, IN 46278
2277 Thunderstick Dr
Ste 300
Lexington, KY 40505
Phone (502) 552-3879
731 Bay Ave
Somers Point, NJ 08244
Phone (609) 653-0232
5741 Shields Rd
Ste B
Canfield, OH 44406
Phone (330) 559-5115
3611 Prospect Ave E
Cleveland, OH 44115
Phone (216) 331-6750
7575 Northcliff Ave
Ste 103
Cleveland, OH 44144
Phone (216) 331-6750
12301 Ridge Rd
North Royalton, OH 44133
Phone (216) 331-6750
200 Rittenhouse Cir
Ste 4
Bristol, PA 19007
Phone (267) 225-1295
Organizations & group practices 8
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.
-
- Nurse Practitioner
- North Royalton, OH
- NPI 1831140003
-
dba Medarbor Clinical Services
- Nurse Practitioner
- North Royalton, OH
- NPI 1184346140
Family
-
- Nurse Practitioner
- Cleveland, OH
- NPI 1780156984
-
- Internal Medicine Physician
- North Royalton, OH
- NPI 1659965457
-
- Nurse Practitioner
- Bristol, PA
- NPI 1992487540
-
- Nurse Practitioner
- Indianapolis, IN
- NPI 1750127528
-
- Physician Assistant
- Lexington, KY
- NPI 1346009040
-
- Durable Medical Equipment & Medical Supplies
- Brooklyn, OH
- NPI 1700557055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1447832787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3119 E MILLSTONE DR",
"city": "KETTERING",
"state": "OH",
"postal_code": "454201188",
"telephone_number": "513-720-9815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3119 E MILLSTONE DR",
"city": "KETTERING",
"state": "OH",
"postal_code": "454201188",
"telephone_number": "513-720-9815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYMER",
"first_name": "CHRISTOPHER",
"middle_name": "RYAN",
"name_prefix": "Mr.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-26",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "4018982",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP030965",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71015771A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "0028634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.