Individual provider Active NPI

Kristyn Nicole Reser, NP-C

  • Family Nurse Practitioner
  • Fremont, OH
National Provider Identifier
1942810338
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0027268 Issued in OH
Practice address
2390 Enterprise St
Fremont, OH 43420-8507
Phone
(419) 559-2700
NPI assigned
Jul 31, 2020
Last updated
Jul 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0027268 OH Primary

Addresses

Primary practice location

2390 Enterprise St
Fremont, OH 43420-8507

Mailing address

145 W Merlin LN
Clyde, OH 43410-1478
Phone (419) 937-8697

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
I20210601001225 OH Practitioner - Nurse Practitioner 9931508652 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Toledo Medical College, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of OhioGroup PAC ID 3375924301, 51 clinicians
Preferred Physician Services of Ohio LLCGroup PAC ID 7315328069, 66 clinicians

Practice addresses (Care Compare)

3239 Jefferson Ave
Suite 1
Cincinnati, OH 45220-2270
Phone 99799192769276

9200 Worthington Rd
Suite 300
Westerville, OH 43082-7240
Phone (337) 991-9276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians Nurse Practitioner CurrentSince Apr 1, 2022 Accepting new patients
Preferred Physician Services of Ohio LLC CurrentSince Mar 17, 2023 Accepting new patients
Promedica Central Corporation of Michigan CurrentSince Jul 8, 2022 Accepting new patients
Mobile Medical, Inc. CurrentSince Apr 1, 2022 Accepting new patients
Promedica Central Physicians CurrentSince Apr 1, 2022 Accepting new patients
Mobile Medical Inc Current Accepting new patients
Curana Health of Ohio CurrentSince Mar 6, 2023 Accepting new patients
Qofl Services LLC Nurse Practitioner CurrentSince May 25, 2021 Accepting new patients
Mobile Medical, Inc. Past Accepting new patients

Locations

700 Lakeshire Trl
Adrian, MI 49221
Phone (419) 824-7419

3175 Smith Rd
Lambertville, MI 48144
Phone (734) 856-5494

200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883

2217 West Ave
Ashtabula, OH 44004
Phone (440) 964-8446

3239 Jefferson Ave
Ste 1
Cincinnati, OH 45220
Phone (997) 991-9276

3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

3366 Riverside Dr
Ste 103
Upper Arlington, OH 43221
Phone (617) 958-5697

9200 Worthington Rd
Ste 300
Westerville, OH 43082
Phone (614) 888-7800

Interoperability endpoints

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

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1942810338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W MERLIN LN",
            "city": "CLYDE",
            "state": "OH",
            "postal_code": "434101478",
            "telephone_number": "419-937-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 ENTERPRISE ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434208507",
            "telephone_number": "419-559-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESER",
        "first_name": "KRISTYN",
        "middle_name": "NICOLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0027268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, OH

Sources for this page

Verify at the official NPI Registry.