Individual provider Active NPI

Kristal Ledbetter, FNP-C

  • Primary Care Nurse Practitioner
  • Centerville, OH
National Provider Identifier
1467137018
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN.CNP.0033736 Issued in OH
Practice address
8371 Yankee St
Centerville, OH 45458-1810
Phone
(937) 844-5262
NPI assigned
Jun 21, 2023
Last updated
Sep 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0033736 OH
Primary Care Nurse Practitioner 363LP2300X APRN.CNP.0033736 OH Primary

Addresses

Primary practice location

8371 Yankee St
Centerville, OH 45458-1810

Mailing address

8371 Yankee St
Centerville, OH 45458-1810
Phone (866) 844-5262

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
I20230912000437 OH Practitioner - Nurse Practitioner 1254795172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asthma and Respiratory Center of South Dayton IncGroup PAC ID 7719911106, 3 clinicians

Practice addresses (Care Compare)

8371 Yankee St
Dayton, OH 45458-1810
Phone (937) 859-5864

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
62.37 of 100Reported as group
Quality
0
Promoting interoperability
80
Improvement activities
40
Cost
91.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0033736OHMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Asthma and Respiratory Center of South Dayton Inc CurrentSince Jun 26, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

8371 Yankee St
Dayton, OH 45458
Phone (937) 859-5864

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1467137018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8371 YANKEE ST",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454581810",
            "telephone_number": "866-844-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8371 YANKEE ST",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454581810",
            "telephone_number": "937-844-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDBETTER",
        "first_name": "KRISTAL",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0033736",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "APRN.CNP.0033736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.