Individual provider Active NPI

Krista Lynette Jones, MSN, AGACNP

  • Acute Care Nurse Practitioner
  • Newark, OH
National Provider Identifier
1811477797
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN.CNP.023505 Issued in OH
Practice address
2269 Cherry Valley Rd SE
Newark, OH 43055
Phone
(740) 788-1400
NPI assigned
Aug 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN.CNP.023505 OH Primary

Addresses

Primary practice location

2269 Cherry Valley Rd SE
Newark, OH 43055

Mailing address

202 W 4TH St
Marysville, OH 43040-1128
Phone (937) 776-6093

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherNOT APPLICABLE AT THIS TIME

Other names 1

  • Mrs. Krista Jones Professional name

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
I20181004000768 OH Practitioner - Nurse Practitioner 4587916424 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
APRN.CNP.023505OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Central Ohio CurrentSince Sep 1, 2018 Accepting new patients
Hospice of Central Ohio CurrentSince Sep 1, 2018 Accepting new patients

Locations

2269 Cherry Valley Rd SE
#R
Newark, OH 43055
Phone (740) 344-0311

2269 Cherry Valley Rd SE
Newark, OH 43055
Phone (740) 344-0311

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1811477797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W 4TH ST",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401128",
            "telephone_number": "937-776-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2269 CHERRY VALLEY RD SE",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "43055",
            "telephone_number": "740-788-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KRISTA",
        "middle_name": "LYNETTE",
        "credential": "MSN, AGACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.023505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOT APPLICABLE AT THIS TIME",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "JONES",
            "prefix": "MRS.",
            "credential": "MSN, CNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.