NPIMap

Individual provider Active NPI

Kristen E Gennari, MD

  • Family Medicine Physician
  • Bowling Green, OH
National Provider Identifier
1578774337
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
57010713 Issued in OH
Practice address
950 W Wooster St
Bowling Green, OH 43402-2603
Phone
(419) 354-8900
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 57010713 OH Primary

Addresses

Primary practice location

950 W Wooster St
Bowling Green, OH 43402-2603

Mailing address

272 Benedict Ave
Norwalk, OH 44857-2374
Phone (419) 660-6943

Other identifiers 2

IdentifierTypeStateIssuer
GE7385731MedicaidOH
000000568235OtherOHANTHEM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristen.gennari.p1@direct.whc.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080709000333 OH Practitioner - Family Practice 6901978840 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Ohio, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fisher-Titus Medical Care LLCGroup PAC ID 6507940566, 82 clinicians

Practice addresses (Care Compare)

272 Benedict Ave
Norwalk, OH 44857-2374
Phone (419) 668-8101

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57010713OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fisher-Titus Medical Care LLC Family Medicine CurrentSince Aug 4, 2014 Accepting new patients
Fisher-Titus Medical Center Current Accepting new patients
NW Ohio Hospital Medicine Physicians LLC CurrentSince Mar 5, 2023 Accepting new patients
Wood County Hospital Assn Past Accepting new patients

Locations

950 W Wooster St
Bowling Green, OH 43402
Phone (419) 354-8900

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-1341

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/m6q718FZg_-IH-imjhHk1P9jJGSwQzGK/
  • Direct secure messaging: kristen.gennari.p1@direct.whc.nextgenshare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1578774337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 BENEDICT AVE",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572374",
            "telephone_number": "419-660-6943",
            "fax_number": "419-660-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W WOOSTER ST",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022603",
            "telephone_number": "419-354-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENNARI",
        "first_name": "KRISTEN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "57010713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GE7385731",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000568235",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristen.gennari.p1@direct.whc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "950 W Wooster St",
            "city": "Bowling Green",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434022603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

Verify at the official NPI Registry.