Individual provider Active NPI

Kristina Renee Roesch, CNP

  • Nurse Practitioner
  • Conneaut, OH
National Provider Identifier
1871884494
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.026284 Issued in OH
Practice address
158 W Main Rd
Conneaut, OH 44030-2039
Phone
(440) 593-0220
NPI assigned
Apr 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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.026284 OH Primary

Addresses

Primary practice location

158 W Main Rd
Conneaut, OH 44030-2039

Mailing address

346 N Amboy Rd
Conneaut, OH 44030-3094
Phone (440) 994-9471

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
I20210315002530 OH Practitioner - Nurse Practitioner 4385050434 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

167 W Main Rd F
Conneaut, OH 44030-2057
Phone (216) 383-0100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Hospitals Geneva Medical Center Nurse Practitioner CurrentSince Dec 15, 2020 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Aug 2, 2021 Accepting new patients
University Hospitals Conneaut Medical Center Nurse Practitioner CurrentSince Dec 15, 2020 Accepting new patients
University Primary Care Practices Inc CurrentSince Aug 2, 2021 Accepting new patients
University Primary Care Practices Inc CurrentSince Aug 2, 2021 Accepting new patients
University Hospitals Conneaut Medical Center CurrentSince Dec 15, 2020 Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

11100 Euclid Ave
Cleveland Heights, OH 44106

167 W Main Rd
Ste F
Conneaut, OH 44030
Phone (440) 599-7466

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

158 W Main Rd
Conneaut, OH 44030
Phone (216) 844-3777

870 W Main St
Geneva, OH 44041
Phone (440) 415-0258

Interoperability endpoints

  • Direct secure messaging: kroesch28160@ehrdirect.uhhospitals.org

Organizations & group practices 8

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 4

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": "1304121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1871884494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 N AMBOY RD",
            "city": "CONNEAUT",
            "state": "OH",
            "postal_code": "440303094",
            "telephone_number": "440-994-9471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 W MAIN RD",
            "city": "CONNEAUT",
            "state": "OH",
            "postal_code": "440302039",
            "telephone_number": "440-593-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROESCH",
        "first_name": "KRISTINA",
        "middle_name": "RENEE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-30",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.026284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conneaut, OH

Sources for this page

Verify at the official NPI Registry.