Individual provider Active NPI

Krysta Nicole Beshaler, M.D.

  • Ophthalmology Physician
  • Mansfield, OH
National Provider Identifier
1558624528
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35.128776 Issued in OH
Practice address
466 S Trimble Rd
Mansfield, OH 44906-3416
Phone
(419) 756-8000
Fax
(419) 756-2601
NPI assigned
Jun 24, 2012
Last updated
Nov 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35.128776 OH Primary

Addresses

Primary practice location

466 S Trimble Rd
Mansfield, OH 44906-3416

Mailing address

466 S Trimble Rd
Mansfield, OH 44906-3416
Phone (419) 756-8000

Other names 1

  • Ms. Krysta Nicole Goslin Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kgoslin@ohioeye.intellechartdirect.net

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160804001051 OH Practitioner - Ophthalmology 6608018452 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Michigan State University College of Human Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Eye Surgeons IncGroup PAC ID 4587965926, 2 clinicians

Practice addresses (Care Compare)

466 S Trimble Rd
Suite B
Mansfield, OH 44906-3416
Phone (419) 756-8000

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery786

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.128776OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Eye Associates, Inc. Current Accepting new patients
Ohio Eye Surgeons, Inc Ophthalmology CurrentSince Aug 1, 2016 Accepting new patients
Ohio Eye Associates, Inc. Ophthalmology CurrentSince Aug 1, 2016 Accepting new patients
Ohio Eye Associates, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Ohio Eye Optometric, LLC PastSince Mar 1, 2020 Accepting new patients
Ohio Eye Optometric LLC Past Accepting new patients

Locations

466 S Trimble Rd
Mansfield, OH 44906
Phone (419) 756-8000

466 S Trimble Rd
Ste A
Mansfield, OH 44906

466 S Trimble Rd
Ste B
Mansfield, OH 44906
Phone (419) 756-8000

Interoperability endpoints

  • Direct secure messaging: kgoslin@ohioeye.intellechartdirect.net

Organizations & group practices 6

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": "1340496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1558624528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 S TRIMBLE RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063416",
            "telephone_number": "419-756-8000",
            "fax_number": "419-756-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 S TRIMBLE RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063416",
            "telephone_number": "419-756-8000",
            "fax_number": "419-756-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESHALER",
        "first_name": "KRYSTA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-24",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35.128776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kgoslin@ohioeye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "466 S Trimble Rd",
            "city": "Mansfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "449063416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRYSTA",
            "last_name": "GOSLIN",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.