NPIMap

Individual provider Active NPI

Krystal Umfleet, CNP

  • Nurse Practitioner
  • Lima, OH
National Provider Identifier
1679931968
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.18704 Issued in OH
Practice address
2793 Shawee Rd
Lima, OH 45806
Phone
(419) 227-8209
Fax
(419) 222-6007
NPI assigned
Feb 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.18704 OH Primary

Addresses

Primary practice location

2793 Shawee Rd
Lima, OH 45806

Mailing address

2793 Shawnee Rd
Lima, OH 45806-1444

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krystal.umfleet@gastrohealth.eclinicaldirectplus.com GCGA Physicians Inc.

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
I20160314000583 OH Practitioner - Nurse Practitioner 7911203211 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gcga Physicians Inc.Group PAC ID 4284618224, 76 clinicians

Practice addresses (Care Compare)

140 Fox Rd
Suite 209
Van Wert, OH 45891-2492
Phone (419) 227-8209

2793 Shawnee Rd
Lima, OH 45806-1444
Phone (419) 227-8209

2925 Vernon PL
Cincinnati, OH 45219-2425

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.18704OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gcga Physicians Inc. CurrentSince Oct 1, 2021 Accepting new patients
Mercy Health Physicians Lima, LLC CurrentSince Mar 21, 2016 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Galloway Anesthesia Associates LLC Past Accepting new patients

Locations

2925 Vernon Pl
Ste 100
Cincinnati, OH 45219
Phone (513) 872-4555

770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069

750 W High St
Ste 250
Lima, OH 45801
Phone (419) 227-7399

750 W High St
Ste 150
Lima, OH 45801

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

2793 Shawnee Rd
Lima, OH 45806
Phone (419) 204-1501

Interoperability endpoints

  • Direct secure messaging: krystal.umfleet@gastrohealth.eclinicaldirectplus.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": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1679931968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2793 SHAWNEE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458061444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2793 SHAWEE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "45806",
            "telephone_number": "419-227-8209",
            "fax_number": "419-222-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMFLEET",
        "first_name": "KRYSTAL",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.18704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krystal.umfleet@gastrohealth.eclinicaldirectplus.com",
            "affiliation": "Y",
            "endpointDescription": "eCW Direct messaging Address",
            "affiliationName": "GCGA Physicians Inc.",
            "address_1": "2925 Vernon Pl",
            "address_2": "Suite 100",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452192425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.