Individual provider Active NPI

Kristi L Loomis, APRN-CNP, FNP-C

  • Family Nurse Practitioner
  • East Liberty, OH
National Provider Identifier
1972099968
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.022726 Issued in OH
Practice address
13900 State Route 287
East Liberty, OH 43319-9466
Phone
(937) 651-6951
NPI assigned
Jul 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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 APRN.CNP.022726 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.022726 OH Primary

Addresses

Primary practice location

13900 State Route 287
East Liberty, OH 43319-9466

Mailing address

13900 State Route 287
East Liberty, OH 43319-9466
Phone (937) 651-6951

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
I20181003001240 OH Practitioner - Nurse Practitioner 3274885249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Rutan HospitalGroup PAC ID 9032013792, 90 clinicians

Practice addresses (Care Compare)

1134 N Main St
Suite 1100
Bellefontaine, OH 43311-2379
Phone (937) 651-6820

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.022726OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Rutan Hospital CurrentSince Nov 1, 2018 Accepting new patients
Mary Rutan Hospital CurrentSince Nov 1, 2018 Accepting new patients
Mary Rutan Hospital Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Mary Rutan Hospital Past Accepting new patients

Locations

1134 N Main St
Ste 1100
Bellefontaine, OH 43311
Phone (937) 651-6820

1134 N Main St
Ste 1300
Bellefontaine, OH 43311
Phone (937) 592-5015

205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015

1134 N Main St
Bellefontaine, OH 43311
Phone (937) 651-6783

13900 State Route 287
East Liberty, OH 43319
Phone (937) 651-6951

1880 E US Highway 36
Urbana, OH 43078
Phone (937) 484-3500

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": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1972099968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13900 STATE ROUTE 287",
            "city": "EAST LIBERTY",
            "state": "OH",
            "postal_code": "433199466",
            "telephone_number": "937-651-6951",
            "fax_number": "937-651-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13900 STATE ROUTE 287",
            "city": "EAST LIBERTY",
            "state": "OH",
            "postal_code": "433199466",
            "telephone_number": "937-651-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOMIS",
        "first_name": "KRISTI",
        "middle_name": "L",
        "credential": "APRN-CNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.022726",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liberty, OH

Sources for this page

Verify at the official NPI Registry.