Individual provider Active NPI

Kristy Faith Statzer, APRN

  • Family Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1649877275
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3015240 Issued in KY
Practice address
2609 New Hartford Rd
Owensboro, KY 42303-1316
Phone
(812) 476-7111
Fax
(812) 476-7117
NPI assigned
Oct 6, 2020
Last updated
Oct 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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 3015240 KY
Family Nurse Practitioner 363LF0000X 3015240 KY Primary

Addresses

Primary practice location

2609 New Hartford Rd
Owensboro, KY 42303-1316

Mailing address

PO Box 21890
Belfast, ME 04915-4115
Phone (502) 907-0356

Other identifiers 1

IdentifierTypeStateIssuer
7100711880MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristy.statzer.1@16521.direct.athenahealth.com Commonwealth Pain Associates, PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20201229001685 KY Practitioner - Nurse Practitioner 3476966045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Owensboro Health, IncGroup PAC ID 0547154650, shared by 9 NPIs, 179 clinicians
Commonwealth Pain Associates PLLCGroup PAC ID 0941441919, 156 clinicians
Empowerme Medical Group PCGroup PAC ID 7214392059, 13 clinicians

Practice addresses (Care Compare)

1006 Ford Ave
Owensboro, KY 42301-4677
Phone (270) 688-4845

2609 New Hartford Rd
Suite 3
Owensboro, KY 42303-1316
Phone (812) 476-7111

2945 Smallhouse Rd
Bowling Green, KY 42104-4519
Phone (877) 367-9772

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.99 of 100Reported as group
Quality
81.97
Promoting interoperability
97
Improvement activities
40
Cost
77.29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pain Associates PLLC CurrentSince Sep 19, 2022 Accepting new patients
Commonwealth Pain Associates, PLLC Multi-Specialty CurrentSince Sep 19, 2022 Accepting new patients
Empowerme Medical Group, PC Multi-Specialty CurrentSince Sep 22, 2023 Accepting new patients
Empowerme Medical Group, PC Multi-Specialty CurrentSince Sep 22, 2023 Accepting new patients
Zipclinic, PSC Multi-Specialty CurrentSince Dec 1, 2020 Accepting new patients

Locations

2508 Scottsville Rd
Ste 104
Bowling Green, KY 42104
Phone (270) 746-6330

651 US 31W Byp
Bowling Green, KY 42101
Phone (270) 495-0440

223 Executive Park
Louisville, KY 40207

2609 New Hartford Rd
Owensboro, KY 42303
Phone (270) 215-2601

2609 New Hartford Rd
Ste 3
Owensboro, KY 42303
Phone (270) 417-2000

120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6765

Interoperability endpoints

  • Direct secure messaging: kristy.statzer.1@16521.direct.athenahealth.com
  • Direct secure messaging: kristy.statzer.p1@direct.empowerme.nextgenshare.com

Organizations & group practices 5

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 5

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": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1649877275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21890",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154115",
            "telephone_number": "502-907-0356",
            "fax_number": "502-919-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 NEW HARTFORD RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031316",
            "telephone_number": "812-476-7111",
            "fax_number": "812-476-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATZER",
        "first_name": "KRISTY",
        "middle_name": "FAITH",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3015240",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100711880",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristy.statzer.1@16521.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Commonwealth Pain Associates, PLLC",
            "address_1": "2609 New Hartford Rd",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423031316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.