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KRISTEN VAN STAALDUINEN
NPI 1578010740
Nurse Practitioner - Family in Waynesville, OH

Active since September 06, 2016PECOS EnrolledAccepts Medicare Assignment
4353 E STATE ROUTE 73, SUITE 120, WAYNESVILLE, OH 45068(937) 897-0085 Get Directions Write a Review

NPPES record last updated: November 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 23, 2022, Mar 1, 2022 (2 updates tracked since 2022).

About Kristen Van Staalduinen NPPES

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

KRISTEN VAN STAALDUINEN (NPI 1578010740) is an individual family provider in Waynesville, Ohio, licensed in Ohio (019760) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of University Of Cincinnati College Of Medicine (2016).

NPPES Registry Identity

NPI1578010740
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTEN VAN STAALDUINEN
Location Address4353 E STATE ROUTE 73, SUITE 120Waynesville, OH 45068-8812
Mailing Address4353 E State Route 73 Ste 120Waynesville, OH 45068-8814 · (513) 897-0085
Phone(937) 897-0085
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2016
Enumeration DateSeptember 6, 2016
Last NPPES UpdateNovember 23, 20222 updates tracked since enumeration
NPPES CertifiedNovember 23, 2022
✔ NPI 1578010740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · 019760
4353 E STATE ROUTE 73, Waynesville, OH 45068
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Accepted Insurance

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

Kristen Van Staalduinen 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 ID4183912843
PECOS Enrollment IDI20161012001017
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 11

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.
173 services113 patients
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.
170 services107 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
112 services112 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
51 services51 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
42 services42 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
33 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45068 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.

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
42%38 patients2/55-star benchmark: 100%
Breast Cancer Screening
65%303 patients3/55-star benchmark: 93%
Cervical Cancer Screening
24%374 patients1/55-star benchmark: 98%
Chlamydia Screening for Women
0%74 patients
Closing the Referral Loop: Receipt of Specialist Report
42%255 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
54%547 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
89%367 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
15%109 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
17%109 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
93%1,941 patients4/55-star benchmark: 100%
e-Prescribing
99%816 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
3%276 patients1/55-star benchmark: 100%
Non-Recommended Cervical Cancer Screening in Adolescent Females
Lower rates are better for this measure.
4%26 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
74%959 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
36%697 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 1% · 878 patients
1%878 patients
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 11% · 802 patients
9%802 patients
Provide Patients Electronic Access to Their Health Information
79%355 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
80%260 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 285 patients
Patients totalRate: 16% · 300 patients
14%300 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers24 claims41 services$5.92 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers18 claims18 services$63.96 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$28.31 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 4

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

DR MELISSA GARGASZ URGENT CARE LLC
Clinic/Center (Urgent Care)
4353 E STATE ROUTE 73, SUITE 150
WAYNESVILLE, OH 45068
Warren County (513) 855-4336
PRIMARY VISION CARE OF MOUNT VERNON INC
Optometrist
4353 E STATE ROUTE 73
WAYNESVILLE, OH 45068
Warren County (513) 897-2211
DR. KENNETH JAMES FIELDS PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4353 E STATE ROUTE 73, SUITE 140
WAYNESVILLE, OH 45068
Warren County (513) 897-0182
ALLISON BOCKRATH
Dentist (General Practice)
4353 E STATE ROUTE 73
WAYNESVILLE, OH 45068
Warren County (513) 897-0248

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 Kristen Van Staalduinen's NPI number?

The NPI number for Kristen Van Staalduinen is 1578010740. It was assigned to this individual provider in the NPPES registry on September 6, 2016.

Where is Kristen Van Staalduinen located?

Kristen Van Staalduinen practices at 4353 E State Route 73 Suite 120, Waynesville, OH 45068. The listed phone number is (937) 897-0085.

What is Kristen Van Staalduinen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kristen Van Staalduinen enrolled in Medicare?

Yes. Kristen Van Staalduinen 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 Kristen Van Staalduinen accept?

Health plans from CareSource and UnitedHealthcare list Kristen Van Staalduinen 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 Kristen Van Staalduinen affiliated with any hospitals?

According to CMS data, Kristen Van Staalduinen is affiliated with Miami Valley Hospital, Atrium Medical Center, Kettering Health Main Campus, Kettering Health Dayton and Kettering Health Miamisburg.

When was this NPI record last updated?

The NPPES record for Kristen Van Staalduinen was last updated on November 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.