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KRISTIN R CAUDILL CNP
NPI 1609284165
Nurse Practitioner - Family in Mansfield, OH

Active since July 29, 2014PECOS EnrolledAccepts Medicare Assignment
20.08/100
CMS Quality Rating
380 CLINE AVE STE 1, MANSFIELD, OH 44907(567) 474-6302(419) 273-4889 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 21, 2026, May 9, 2024 (2 updates tracked since 2024).

About Kristin R Caudill Cnp NPPES

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

KRISTIN R CAUDILL CNP (NPI 1609284165) is an individual family provider in Mansfield, Ohio, licensed in Ohio (16025-NP) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1609284165
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTIN R CAUDILLCredential: CNP
Location Address380 CLINE AVE STE 1Mansfield, OH 44907-1056
Mailing Address380 Cline Ave Ste 1Mansfield, OH 44907-1056 · (567) 474-6302 · Fax (419) 273-4889
Phone(567) 474-6302
Fax(419) 273-4889
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 29, 2014
Last NPPES UpdateApril 21, 20262 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1609284165 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 · 16025-NP
380 CLINE AVE STE 1, Mansfield, OH 44907
Open in Google Maps ↗

Other Names 1

Former Name (1)Kristin R Browning Cnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Kristin R Caudill 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 ID547489312
PECOS Enrollment IDI20140910001901
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Kristin Caudill reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ritenour Medical LLC
Same address
Primary Care
380 CLINE AVE STE 1
Mansfield, OH 44907
  • Reassigned Medicare billing, Ohio enrollment
  • 2 clinicians in this Medicare group
NPI 1780226092 (419) 571-5290
Sante' Health Management LLC
Same address
Nurse Practitioner
380 CLINE AVE STE 1
Mansfield, OH 44907
  • Reassigned Medicare billing, Ohio enrollment
NPI 1932627353 (567) 474-6302
Twn LLC
Same address
Family
380 CLINE AVE STE 1
Mansfield, OH 44907
  • Reassigned Medicare billing, Ohio enrollment
NPI 1457287351 (567) 474-6303
Carelon Medical Partners, PC
389 mi
Hospice and Palliative Medicine
22 CENTURY BLVD STE 220
Nashville, TN 37214
  • Reassigned Medicare billing, Ohio enrollment
  • 88 clinicians in this Medicare group
NPI 1124443403 (615) 454-9850

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 4

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,564 services170 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
318 services31 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
279 services45 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
161 services55 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44907 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.

20.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost66.93

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%474 patients5/55-star benchmark: 100%
Falls: Risk Assessment
Percentage of patients aged 65 years and older with a history of falls that had a risk assessment for falls completed within 12 months
100%176 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
17%696 patients1/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
100%696 patients5/55-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 2

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
5 suppliers32 claims32 services$56.38 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier33 claims33 services$27.85 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 5

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

COLUMBUS PHYSICIAN RESOURCES INC
Specialist
380 CLINE AVE STE 1
MANSFIELD, OH 44907
Richland County (419) 571-5290
TWN LLC
Nurse Practitioner (Family)
380 CLINE AVE STE 1
MANSFIELD, OH 44907
Richland County (567) 474-6303
RITENOUR MEDICAL LLC
Clinic/Center (Primary Care)
380 CLINE AVE STE 1
MANSFIELD, OH 44907
Richland County (419) 571-5290
OHIO OPIATE RECOVERY
General Practice
380 CLINE AVE STE 1
MANSFIELD, OH 44907
Richland County (419) 571-5290
SANTE' HEALTH MANAGEMENT LLC
Nurse Practitioner
380 CLINE AVE STE 1
MANSFIELD, OH 44907
Richland County (567) 474-6302

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 Kristin Caudill's NPI number?

The NPI number for Kristin Caudill is 1609284165. It was assigned to this individual provider in the NPPES registry on July 29, 2014. The provider is also known as Kristin R Browning Cnp.

Where is Kristin Caudill located?

Kristin Caudill practices at 380 Cline Ave Ste 1, Mansfield, OH 44907. The listed phone number is (567) 474-6302.

What is Kristin Caudill's specialty?

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

Is Kristin Caudill enrolled in Medicare?

Yes. Kristin Caudill 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 Kristin Caudill's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Caudill reassigns Medicare benefits to 4 organizations: Ritenour Medical LLC (Mansfield, OH), Sante' Health Management LLC (Mansfield, OH), Twn LLC (Mansfield, OH) and Carelon Medical Partners, PC (Nashville, TN). 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 Kristin Caudill's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristin Caudill accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Kristin Caudill 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.

When was this NPI record last updated?

The NPPES record for Kristin Caudill was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.