Individual provider Active NPI

Christopher Ryan Hymer, APRN

  • Family Nurse Practitioner
  • Kettering, OH
National Provider Identifier
1447832787
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0028634 Issued in OH
Practice address
3119 E Millstone Dr
Kettering, OH 45420-1188
Phone
(513) 720-9815
NPI assigned
Apr 26, 2021
Last updated
Oct 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, IN4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20210506001373 OH Practitioner - Nurse Practitioner 7416366265 Reassigns benefits to 4 organizations
I20240613001206 KY Practitioner - Nurse Practitioner 7416366265 Reassigns benefits to 1 organization
I20241031004496 PA Practitioner - Nurse Practitioner 7416366265 Reassigns benefits to 1 organization
I20250116001482 IN Practitioner - Nurse Practitioner 7416366265 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71015771AINMDFamily Nurse Practitioner
4018982KYMDFamily Nurse Practitioner
0028634OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Encore Clinical Services LLC Family CurrentSince Nov 1, 2022 Accepting new patients
Encore Wound Care - Kentucky, LLC CurrentSince Apr 29, 2024 Accepting new patients
Ohio Wound Care Associates LLC CurrentSince Aug 1, 2024 Accepting new patients
Encore Wound Care - Indiana LLC CurrentSince Nov 2, 2024 Accepting new patients
Lake Effect Health CurrentSince Apr 1, 2021 Accepting new patients
Cleveland Surgical Associates, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Encore Clinical Services - PA LLC CurrentSince Oct 17, 2024 Accepting new patients
Lake Effect Health PastSince Oct 5, 2021 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.

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

Verify at the official NPI Registry.