Individual provider Active NPI

Shari Lynn Kitzmiller, CNM

  • Advanced Practice Midwife
  • Columbus, OH
National Provider Identifier
1922715770
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN.CNM.0019507 Issued in OH
Practice address
393 E Town St Ste 116
Columbus, OH 43215-4799
Phone
(614) 566-9108
Fax
(614) 566-8737
NPI assigned
Nov 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN.CNM.0019507 OH Primary

Addresses

Primary practice location

393 E Town St Ste 116
Columbus, OH 43215-4799

Mailing address

PO Box 7527
Dublin, OH 43017-0727
Phone (614) 566-9108

Other practice location 1

5000 E Main St
Columbus, OH 43213-2440
Phone (614) 235-5555

Other identifiers 1

IdentifierTypeStateIssuer
0010902MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Shari.kitzmiller01@frontier.edu Direct
Direct Messaging Address skitzmiller156890@direct.ohiohealth.com OhioHealth Physician Group, Inc.

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230125003492 OH Practitioner - Certified Nurse Midwife (CNM) 4981075140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

393 E Town St
Suite 116
Columbus, OH 43215-4799
Phone (614) 566-9108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNM.0019507OHMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Oct 1, 2024 Accepting new patients
Ohiohealth Corporation CurrentSince Oct 1, 2024 Accepting new patients
Heart of Ohio Family Health Centers CurrentSince Dec 2, 2022 Accepting new patients
Heart of Ohio Family Health Centers Current Accepting new patients
Heart of Ohio Family Health Centers CurrentSince Dec 2, 2022 Accepting new patients

Locations

3601 Gender Rd
Canal Wnchstr, OH 43110
Phone (614) 235-5555

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

2365 Innis Rd
Columbus, OH 43224
Phone (614) 235-5555

5000 E Main St
Whitehall, OH 43213
Phone (614) 235-5555

Organizations & group practices 5

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": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1922715770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727",
            "telephone_number": "614-566-9108",
            "fax_number": "614-566-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 E TOWN ST STE 116",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154799",
            "telephone_number": "614-566-9108",
            "fax_number": "614-566-8737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 E Main St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432132440",
            "country_code": "US",
            "telephone_number": "614-235-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITZMILLER",
        "first_name": "SHARI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "APRN.CNM.0019507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010902",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Shari.kitzmiller01@frontier.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5000 E Main St",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432132440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skitzmiller156890@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "address_1": "393 E Town St Ste 116",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432154799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.