Individual provider Active NPI

Kathryn Bruns, CNP

  • Family Nurse Practitioner
  • Celina, OH
National Provider Identifier
1467810077
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.019463 Issued in OH
Practice address
801 Pro Dr Ste D1
Celina, OH 45822-3307
Phone
(419) 586-6489
Fax
(419) 586-8506
NPI assigned
Feb 10, 2016
Last updated
May 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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 APRN.CNP.019463 OH Primary

Addresses

Primary practice location

801 Pro Dr Ste D1
Celina, OH 45822-3307

Mailing address

1140 S Knoxville Ave Ste D
Saint Marys, OH 45885-2609
Phone (419) 300-1129

Other names 1

  • Kathryn Callow Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kathrynbruns@glhs.allscriptsdirect.net Health Information Exchange (HIE) JTDM Family Practice LLC

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
I20160912002697 OH Practitioner - Nurse Practitioner 7113213448 Reassigns benefits to 2 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
JTDM Family Practice LLCGroup PAC ID 2163415837, 48 clinicians

Practice addresses (Care Compare)

801 Pro Dr
Suite D1
Celina, OH 45822-3307
Phone (419) 586-6489

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.44 of 100Reported as group
Quality
78
Promoting interoperability
96
Improvement activities
40
Cost
76.79

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
JTDM Family Practice LLC Family CurrentSince May 15, 2024 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Aug 1, 2016 Accepting new patients
Lima Memorial Joint Operating Company PastSince May 15, 2024 Accepting new patients
Joint Township District Memorial Hospital Past Accepting new patients

Locations

801 Pro Dr
Celina, OH 45822
Phone (419) 586-6489

801 Pro Dr
Ste D1
Celina, OH 45822
Phone (419) 586-6489

L3982
Columbus, OH 43260

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

1005 Bellefontaine Ave
Ste 100
Lima, OH 45804
Phone (419) 222-3521

4463 State Route 66
Ste A
Minster, OH 45865
Phone (419) 628-3821

1040 Hager St
Saint Marys, OH 45885
Phone (419) 394-9959

1140 S Knoxville Ave
Ste D
Saint Marys, OH 45885

Organizations & group practices 4

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 4

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": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1467810077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 S KNOXVILLE AVE STE D",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852609",
            "telephone_number": "419-300-1129",
            "fax_number": "419-394-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PRO DR STE D1",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458223307",
            "telephone_number": "419-586-6489",
            "fax_number": "419-586-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNS",
        "first_name": "KATHRYN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.019463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathrynbruns@glhs.allscriptsdirect.net",
            "affiliation": "Y",
            "affiliationName": "JTDM Family Practice LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "801 Pro Dr Ste D1",
            "city": "Celina",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458223307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "CALLOW",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Celina, OH

Sources for this page

Verify at the official NPI Registry.