Kristi Marie Irvin, APRN
Individual provider Active NPI Family Nurse Practitioner · Columbia, KY
NPI 1558036384 · NPPES record last updated May 15, 2025
Key facts
- NPI
- 1558036384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3016322 (KY)
- Practice address
- 902 Wellness Way
Columbia, KY 42728-1149 - Phone
- (270) 384-0451
- Fax
- (270) 384-0454
- NPI assigned
- Aug 13, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- T J Health Columbia Inc
T J Samson Community Hospital
Jeffrey Leider MD PLLC
Practice addresses (Care Compare)
1704 W Stockton St
Edmonton, KY 42129-8137
Phone (270) 432-4800
310 N L Rogers Wells Blvd
Glasgow, KY 42141-1300
Phone (270) 651-1111
35 Augusta Ave
Ft Wright, KY 41011-3603
Phone 24852821166
902 Wellness Way
Columbia, KY 42728-1149
Phone (270) 384-0451
Hospital & facility affiliations
- T J Samson Community Hospital
- TJ Health Columbia
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210901002941 | KY | Practitioner - Nurse Practitioner | 3577969443 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3016322 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T J Samson Community Hospital | Family Medicine | Current |
Accepting new patients |
| T J Health Columbia Inc | Current |
Accepting new patients | |
| Jeffrey Leider MD PLLC | Current |
Accepting new patients | |
| T J Health Columbia Inc | Current | Accepting new patients | |
| T J Health Columbia Inc | Current |
Accepting new patients | |
| T J Samson Community Hospital | Current | Accepting new patients | |
| T J Health Columbia Inc | Family | Current | Accepting new patients |
| T J Health Columbia Inc | Current |
Accepting new patients | |
| T J Health Columbia Inc | Current |
Accepting new patients | |
| Jeffrey Leider MD PLLC | Family | Current |
Accepting new patients |
| T J Health Columbia Inc | Current |
Accepting new patients | |
| T J Health Columbia Inc | Current |
Accepting new patients | |
| T J Samson Community Hospital | Family | Current | Accepting new patients |
| T J Samson Community Hospital | Past | Accepting new patients |
Locations
902 Wellness Way
Columbia, KY 42728
Phone (270) 384-0451
901 Wellness Way
Columbia, KY 42728
Phone (270) 384-4753
810 Jamestown St
Columbia, KY 42728
Phone (270) 384-4764
1704 W Stockton St
Edmonton, KY 42129
Phone (270) 432-3111
1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141
310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111
603 Columbia Hwy
Greensburg, KY 42743
Phone (270) 932-4518
542 Steve Dr
Russell Springs, KY 42642
Phone (270) 858-3636
Interoperability endpoints
- kristi.irvin@tjrh.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3016322 | KY | Yes |
Addresses
Primary practice location
902 Wellness Way
Columbia, KY 42728-1149
Mailing address
PO Box 645996
Cincinnati, OH 45264-5996
Phone (270) 651-4444
Other practice location 1
810 Jamestown St
Columbia, KY 42728-1010
Phone (270) 384-4764
Other practice location 2
1704 W Stockton St
Edmonton, KY 42129-8137
Phone (270) 432-4800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100762040 | Medicaid | KY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Kristi.Irvin@tjrh.cernerdirect.com |
Other providers in Columbia, KY
- Donna Hoover
- Brenda Huckaby
- Janet S Huckaby
- Ashley Hutchison
- Mark Craycroft Hyatt
- Sandra Kay Irvin
- Matthew Kane Jackson
- James Medical Pharmacy
- Janella F. Brown ,D.M.D. PSC.
- Ryan Kathryn Jeffries
All providers in Columbia, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.