Kristen Van Staalduinen, in Waynesville, OH - Medicare Nurse Practitioner

Kristen Van Staalduinen, is a medicare enrolled "Nurse Practitioner - Family" in Waynesville, Ohio. She went to University Of Cincinnati College Of Medicine and graduated in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence Medical Group and her current practice location is 4353 E State Route 73, Suite 120, Waynesville, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 897-0085.

Kristen Van Staalduinen is licensed to practice in Ohio (license number 019760) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578010740.

Contact Information

	Kristen Van Staalduinen,
	4353 E State Route 73, Suite 120, Waynesville, OH 45068-8812
	(937) 897-0085
	Not Available

Map and Direction

Provider's Profile

Full Name	Kristen Van Staalduinen
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	4353 E State Route 73, Waynesville, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kristen Van Staalduinen attended and graduated from University Of Cincinnati College Of Medicine in 2016

NPI Data:

NPI Number: 1578010740
Provider Enumeration Date: 09/06/2016
Last Update Date: 11/23/2022

Medicare PECOS Information:

PECOS PAC ID: 4183912843
Enrollment ID: I20161012001017

Medical Identifiers

Medical identifiers for Kristen Van Staalduinen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578010740	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	019760 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fidelity Health Care	Moraine, OH	Home health agency
Miami Valley Hospital	Dayton, OH	Hospital
Atrium Medical Center	Franklin, OH	Hospital
Grandview And Southview Hospitals	Dayton, OH	Hospital
Greene Memorial Hospital	Xenia, OH	Hospital
Bethesda North	Cincinnati, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Group	2860386349	28

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristen Van Staalduinen allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972533149 PECOS PAC ID: 2860386349 Enrollment ID: O20040215000006

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristen Van Staalduinen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kristen Van Staalduinen, 4353 E State Route 73 Ste 120, Waynesville, OH 45068-8814 Ph: (513) 897-0085	Kristen Van Staalduinen, 4353 E State Route 73, Suite 120, Waynesville, OH 45068-8812 Ph: (937) 897-0085

Reviews and Comments

Nurse Practitioner Nurses in Waynesville, OH

Chari L Baire, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 N Main St, Waynesville, OH 45068 Phone: 937-289-4122
Denise Wade, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7149 Township Line Rd, Waynesville, OH 45068 Phone: 419-234-2260
Rebecca Bryant, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3063 Harveysburg Rd, Waynesville, Waynesville, OH 45068 Phone: 937-725-5006 Fax: 937-289-3003
Mrs. Bethany Lynn Ratliff, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4353 E State Route 73 Ste 120, Waynesville, OH 45068 Phone: 513-897-0085
Jordan Lenae Glover, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4353 E State Route 73 Ste 150, Waynesville, OH 45068 Phone: 513-855-4336
Mrs. Erin Maureen Zehringer, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5288 Thomas Drive, Waynesville, OH 45068 Phone: 513-855-4200

Kristen Van Staalduinen, - Medicare Nurse Practitioner in Waynesville, OH