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KRISTIE LYNN LAMBERT CNP
NPI 1295014629
Nurse Practitioner - Adult Health in Sidney, OH

Active since August 16, 2011PECOS EnrolledAccepts Medicare Assignment
84.78/100
CMS Quality Rating
915 MICHIGAN ST, SIDNEY, OH 45365(937) 498-5384(937) 498-5368 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 8, 2020, Nov 20, 2017 (2 updates tracked since 2017).

About Kristie Lynn Lambert Cnp NPPES

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

KRISTIE LYNN LAMBERT CNP (NPI 1295014629) is an individual adult health provider in Sidney, Ohio, licensed in Ohio (12538-NP) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Wilson Memorial Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1295014629
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKRISTIE LYNN LAMBERTCredential: CNP
Location Address915 MICHIGAN STSidney, OH 45365-2401
Mailing Address915 Michigan StSidney, OH 45365-2401 · (937) 498-5384 · Fax (937) 498-5368
Phone(937) 498-5384
Fax(937) 498-5368
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 16, 2011
Last NPPES UpdateDecember 8, 20202 updates tracked since enumeration
NPPES CertifiedDecember 8, 2020
✔ NPI 1295014629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in OH · 12538-NP
915 MICHIGAN ST, Sidney, OH 45365
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.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

Kristie Lynn Lambert Cnp 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 ID6103055397
PECOS Enrollment IDI20140211000636
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 6

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
338 services179 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
335 services186 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
263 services114 patients
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.
167 services118 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wilson Memorial Hospital

Acute Care Hospitals · Sidney, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360013
Location915 West Michigan StreetSidney, OH 45365 · Shelby County
Emergency services Birthing friendly

Grand Lake Health System

Acute Care Hospitals · Saint Marys, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360032
Location200 Saint Clair StreetSaint Marys, OH 45885 · Auglaize County
Emergency services Birthing friendly

Mercer County Joint Township Community Hospital

Acute Care Hospitals · Coldwater, OH
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number360058
Location800 West Main StreetColdwater, OH 45828 · Mercer County
Birthing friendly

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360066
Location730 West Market StreetLima, OH 45801 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45365 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.

84.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.09
Promoting Interoperability100
Improvement Activities40
Cost74.18

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers38 claims494 services$16.57 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers37 claims1,233 services$2.02 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
30 suppliers221 claims787 services$5.87 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
14 suppliers45 claims71 services$0.93 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
3 suppliers20 claims20 services$331.46 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
10 suppliers28 claims2,140 services$6.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ABIGAIL CABLE
Specialist/Technologist (Athletic Trainer)
915 MICHIGAN ST
SIDNEY, OH 45365
Shelby County (937) 498-5503
STACY T SULLENBERGER PNP
Nurse Practitioner (Pediatrics)
915 MICHIGAN ST
SIDNEY, OH 45365
Shelby County (937) 498-4488
DR. DONALD TODD SMITH PHD RN AGACNP-BC NPC
Nurse Practitioner (Family)
915 MICHIGAN ST
SIDNEY, OH 45365
Shelby County (937) 498-2311
DR. WILLIAM EDWIN SCHEMMEL O.D.
Optometrist
915 MICHIGAN ST
SIDNEY, OH 45365
Shelby County (937) 492-8040
MRS. MELODY ANNE EPPLEY RPH
Pharmacist
915 MICHIGAN ST
SIDNEY, OH 45365
Shelby County (937) 498-5563
ASHOK G. BUDDHADEV, MD, LLC
Obstetrics & Gynecology
915 MICHIGAN ST, YAGER BLDG. SUITE 202
SIDNEY, OH 45365
Shelby County (937) 492-8878
KRISTEN M HOLLIS ATC
Specialist/Technologist (Athletic Trainer)
915 MICHIGAN ST
SIDNEY, OH 45365
Shelby County (937) 498-2311
FEP ACUTE
Emergency Medicine
915 MICHIGAN ST
SIDNEY, OH 45365
Shelby County (937) 498-2311

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 Kristie Lambert's NPI number?

The NPI number for Kristie Lambert is 1295014629. It was assigned to this individual provider in the NPPES registry on August 16, 2011.

Where is Kristie Lambert located?

Kristie Lambert practices at 915 Michigan St, Sidney, OH 45365. The listed phone number is (937) 498-5384.

What is Kristie Lambert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kristie Lambert enrolled in Medicare?

Yes. Kristie Lambert 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 Kristie Lambert accept?

Health plans from CareSource and Molina Healthcare list Kristie Lambert 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 Kristie Lambert affiliated with any hospitals?

According to CMS data, Kristie Lambert is affiliated with Wilson Memorial Hospital, Grand Lake Health System, Mercer County Joint Township Community Hospital and Mercy Health-St Rita's Medical Center.

When was this NPI record last updated?

The NPPES record for Kristie Lambert was last updated on December 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.