KRISTEN ELIZABETH PROCTOR MD
NPI 1184476129
Student in an Organized Health Care Education/Training Program in Miamisburg, OH

Q: What is Kristen Proctor's NPI number?

The NPI number for Kristen Proctor is 1184476129. It was assigned to this individual provider in the NPPES registry on April 3, 2024.

Q: What is Kristen Proctor's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kristen Proctor was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 03, 2024PECOS Enrolled

2115 LEITER RD, MIAMISBURG, OH 45342(937) 384-6800(937) 384-6938 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kristen Elizabeth Proctor Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTEN ELIZABETH PROCTOR MD (NPI 1184476129) is an individual student in an organized health care education/training program in Miamisburg, Ohio and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184476129

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKRISTEN ELIZABETH PROCTORCredential: MD

Location Address2115 LEITER RDMiamisburg, OH 45342-3600

Mailing Address2115 Leiter RdMiamisburg, OH 45342-3600 · (937) 384-6800 · Fax (937) 384-6938

Phone(937) 384-6800

Fax(937) 384-6938

Sole ProprietorNo

Enumeration DateApril 3, 2024

NPPES CertifiedApril 3, 2024

✔ NPI 1184476129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2115 LEITER RD, Miamisburg, OH 45342

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristen Elizabeth Proctor Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA ROSARIA CARUSO DO

Student in an Organized Health Care Education/Training Program