Krystina Lyn Pouliot, APRN, CNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

RN.417282 Issued in OH

Practice address

349 Niles Corhand Rd NE
Warren, OH 44484-1976

Phone

(330) 372-0260

Fax

(330) 372-0261

NPI assigned

Oct 11, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

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.

• Nephrology Associates, Inc.

  • Specialist
  • Youngstown, OH
  • NPI 1841217825
  Medicare reassignment
• Robert E. Bisel, DO & Associates, LLC

  • Internal Medicine Physician
  • Warren, OH
  • NPI 1376649491
  NPD (past)

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1851728679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 NILES CORHAND RD NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444841976",
            "telephone_number": "330-372-0260",
            "fax_number": "330-372-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 NILES CORHAND RD NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444841976",
            "telephone_number": "330-372-0260",
            "fax_number": "330-372-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULIOT",
        "first_name": "KRYSTINA",
        "middle_name": "LYN",
        "credential": "APRN, CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-11",
        "last_updated": "2025-06-20",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.0031937",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "RN.417282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006262",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerold Porter, B.C. H.I.S.
• Scott William Porterfield, PT
• Kimberly Posey
• Michael F Potesta, M.D.
• Karen Sue Potts, L.P.T.A., R.N.
• Andrew John Poulos, CRNA
• Adina Pounds, LPN
• Mary Prebonick, CDCA
• Precious Touch Homecare LLC
• Precision Physical Therapy, LLC

• Acute Care Nurse Practitioner in Warren, OH
• Providers in Warren, OH by specialty
• Acute Care Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.