Individual provider Active NPI

Kristin Nicole Hiltner, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Canton, OH
National Provider Identifier
1689006892
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
COA.15223-NP Issued in OH
Practice address
4773 Higbee Ave NW
Canton, OH 44718
Phone
(330) 492-6500
Fax
(330) 492-6502
NPI assigned
Jul 30, 2013
Last updated
Dec 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X COA.15223-NP OH Primary

Addresses

Primary practice location

4773 Higbee Ave NW
Canton, OH 44718

Mailing address

4773 Higbee Ave NW
Canton, OH 44718-2551
Phone (330) 807-3897

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131217001023 OH Practitioner - Nurse Practitioner 5890922983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Canton Psychiatry LLCGroup PAC ID 5991036477, 3 clinicians

Practice addresses (Care Compare)

4773 Higbee Ave NW
Canton, OH 44718-2551
Phone (330) 492-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
COA.15223-NPOHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Canton Psychiatry, LLC CurrentSince Nov 7, 2019 Accepting new patients

Locations

4773 Higbee Ave NW
Canton, OH 44718
Phone (330) 492-6500

Interoperability endpoints

  • Direct secure messaging: greatercantonpsychiatryllc.kristinhiltner@128532.advancedmd-direct.com

Organizations & group practices 1

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": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1689006892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4773 HIGBEE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182551",
            "telephone_number": "330-807-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4773 HIGBEE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44718",
            "telephone_number": "330-492-6500",
            "fax_number": "330-492-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILTNER",
        "first_name": "KRISTIN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "COA.15223-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.