KRISTINE PLOTTS APRN
NPI 1184895567
Nurse Practitioner - Family in Newark, OH

Active since March 13, 2008PECOS EnrolledAccepts Medicare Assignment
90.5/100
CMS Quality Rating
1865 TAMARACK RD, NEWARK, OH 43055(220) 564-4972(220) 564-4991 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 30, 2025, Jul 27, 2023, Dec 15, 2021 and 2 more (5 updates tracked since 2018).

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

NPI1184895567
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTINE PLOTTSCredential: APRN
Location Address1865 TAMARACK RDNewark, OH 43055-2305
Mailing Address1865 Tamarack RdNewark, OH 43055-2305 · (220) 564-4972 · Fax (220) 564-4991
Fax(220) 564-4991
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMarch 13, 2008
Last NPPES UpdateJune 30, 20255 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
NPI 1184895567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · APRN.CNP.09629
Also ListedNurse PractitionerTaxonomy 363L00000X · License COA.09629-NP (OH)
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License APRN.CNP.09629 (OH)
1865 TAMARACK RD, Newark, OH 43055

Secondary Practice Location 1

Location 14101 Summit Rd SWPataskala, OH 43062-8844 · Phone (220) 564-7830 · Fax (220) 564-7831

Other Identifiers 1

Medicaid3014624OH

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID3072692672
PECOS Enrollment IDI20080508000003
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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services33 patients

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, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360218
Location1320 West Main StreetNewark, OH 43055 · Licking County
Emergency services Birthing friendly

Physician 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.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

90.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.75
Promoting Interoperability100
Improvement Activities40
Cost77.59

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.

Physical Medicine & Rehabilitation
1865 TAMARACK RD
NEWARK, OH 43055
Preventive Medicine (Occupational Medicine)
1865 TAMARACK RD
NEWARK, OH 43055
Dietitian, Registered
1865 TAMARACK RD
NEWARK, OH 43055
Pediatrics
1865 TAMARACK RD
NEWARK, OH 43055
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
1865 TAMARACK RD
NEWARK, OH 43055
Pediatrics
1865 TAMARACK RD
NEWARK, OH 43055
Pediatrics
1865 TAMARACK RD
NEWARK, OH 43055
Nurse Practitioner (Pediatrics)
1865 TAMARACK RD
NEWARK, OH 43055

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.

What insurance does Kristine Plotts accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, 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 with the weekly NPPES data releases published by CMS.