Individual provider Active NPI

Kristen Tyneski, CNP

  • Adult Health Nurse Practitioner
  • Medina, OH
National Provider Identifier
1932569159
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
18866 Issued in OH
Practice address
784 Medina Rd Ste 104
Medina, OH 44256-9634
Phone
(330) 661-4008
Fax
(330) 661-4049
NPI assigned
Mar 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 18866 OH
Adult Health Nurse Practitioner 363LA2200X 18866 OH Primary

Addresses

Primary practice location

784 Medina Rd Ste 104
Medina, OH 44256-9634

Mailing address

784 Medina Rd Ste 104
Medina, OH 44256-9634
Phone (330) 661-4008

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristentyneski@uhps.allscriptsdirect.net Health Information Exchange (HIE)

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
I20170328000971 OH Practitioner - Nurse Practitioner 0143505560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Villagehealth DM LLCGroup PAC ID 2769812445, 161 clinicians

Practice addresses (Care Compare)

791 White Pond Dr
Akron, OH 44320-1136
Phone (330) 805-8939

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18866OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Villagehealth DM LLC CurrentSince Dec 26, 2023 Accepting new patients
Prestige Wound Solutions, LLC Nurse Practitioner CurrentSince Aug 3, 2026 Accepting new patients

Locations

2000 16th St
Denver, CO 80202
Phone (253) 733-4500

791 White Pond Dr
Akron, OH 44320
Phone (330) 805-8939

784 Medina Rd
Ste 104
Medina, OH 44256
Phone (330) 661-4008

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1932569159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 MEDINA RD STE 104",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569634",
            "telephone_number": "330-661-4008",
            "fax_number": "330-661-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 MEDINA RD STE 104",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569634",
            "telephone_number": "330-661-4008",
            "fax_number": "330-661-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYNESKI",
        "first_name": "KRISTEN",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "18866",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "18866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristentyneski@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4065 Center Rd Ste 210",
            "city": "Brunswick",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442125325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.