KRISTINE PLOTTS APRN
NPI 1184895567
Nurse Practitioner - Family in Newark, OH
About Kristine Plotts Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTINE PLOTTS APRN (NPI 1184895567) is an individual family provider in Newark, Ohio, licensed in Ohio (APRN.CNP.09629) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS, is affiliated with Licking Memorial Hospital, and maintains a secondary practice location in Pataskala.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kristine Plotts Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Kristine Plotts reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newark, OH 43055
- Reassigned Medicare billing, Ohio enrollment
- Medicare enrollment name: Licking Memorial Health Professionals
- 280 clinicians in this Medicare group
Columbus, OH 43213
- Reassigned Medicare billing, Ohio enrollment
- 258 clinicians in this Medicare group
Dublin, OH 43016
- Reassigned Medicare billing, Ohio enrollment
- 388 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Licking Memorial Hospital
Acute Care Hospitals · Newark, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kristine Plotts's NPI number?
The NPI number for Kristine Plotts is 1184895567. It was assigned to this individual provider in the NPPES registry on March 13, 2008.
Where is Kristine Plotts located?
Kristine Plotts practices at 1865 Tamarack Rd, Newark, OH 43055. The listed phone number is (220) 564-4972.
What is Kristine Plotts's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kristine Plotts enrolled in Medicare?
Yes. Kristine Plotts is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kristine Plotts's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristine Plotts reassigns Medicare benefits to 3 organizations: Licking Memorial Professional Corporation (Newark, OH), Mount Carmel Health System (Columbus, OH) and Ohiohealth Urgent Care LLC (Dublin, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristine Plotts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristine Plotts accept?
Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., MedMutual and Molina Healthcare list Kristine Plotts as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Kristine Plotts affiliated with any hospitals?
According to CMS data, Kristine Plotts is affiliated with Licking Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Kristine Plotts was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Kristine Plotts, APRN · NPI 1184895567
Family physician in Newark, Ohio. Individual provider, active in the CMS NPPES registry since March 13, 2008.
## Identity
- **NPI:** 1184895567 (Entity type: Individual)
- **Enumerated:** March 13, 2008
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN.CNP.09629 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 1865 TAMARACK RD, Newark, OH 43055-2305
- **Phone:** (220) 564-4972 · **Fax:** (220) 564-4991
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Licking Memorial Professional Corporation (NPI 1932186053, Newark, OH); Mount Carmel Health System (NPI 1336255918, Columbus, OH); Ohiohealth Urgent Care LLC (NPI 1811207160, Dublin, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** June 30, 2025
- **Other identifiers:** Medicaid 3014624 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1184895567) · Data from the CMS NPPES public registry.