Krystina Lyn Pouliot, APRN, CNP - Medicare Nurse Practitioner in Warren, OH

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Krystina Lyn Pouliot, APRN, CNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Warren, Ohio. Her current practice location is 349 Niles Corhand Rd Ne, Warren, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 372-0260.

Krystina Lyn Pouliot is licensed to practice in Ohio (license number RN.417282) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1851728679.

Contact Information

Krystina Lyn Pouliot, APRN, CNP
349 Niles Corhand Rd Ne,
Warren, OH 44484-1976
(330) 372-0260
(330) 372-0261

Map and Direction




Provider's Profile

Full NameKrystina Lyn Pouliot
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location349 Niles Corhand Rd Ne, Warren, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1851728679
  • Provider Enumeration Date: 10/11/2013
  • Last Update Date: 06/20/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3173888542
  • Enrollment ID: I20220915002609

Medical Identifiers

Medical identifiers for Krystina Lyn Pouliot such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851728679NPI-NPPES
0006262MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care APRN.CNP.0031937 (Ohio)Secondary
363LA2100XNurse Practitioner - Acute Care RN.417282 (Ohio)Primary

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. Krystina Lyn Pouliot allows following entities to bill medicare on her behalf.
Entity NameNephrology Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841217825
PECOS PAC ID: 0840227674
Enrollment ID: O20050722000477
Entity NameCnp Operating Co Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518386739
PECOS PAC ID: 8325263734
Enrollment ID: O20140626002603
Entity NamePa Post Acute Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255057063
PECOS PAC ID: 7911374905
Enrollment ID: O20240312002651

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. Krystina Lyn Pouliot 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 AddressPractice Location Address
Krystina Lyn Pouliot, APRN, CNP
349 Niles Corhand Rd Ne,
Warren, OH 44484-1976

Ph: (330) 372-0260		Krystina Lyn Pouliot, APRN, CNP
349 Niles Corhand Rd Ne,
Warren, OH 44484-1976

Ph: (330) 372-0260

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.