MISS KRISTEN LYNNE KIDD PA-C
NPI 1992839575
Physician Assistant in Youngstown, OH

Q: What is Kristen Kidd's NPI number?

The NPI number for Kristen Kidd is 1992839575. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Q: What is Kristen Kidd's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristen Kidd was last updated on September 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.

Active since March 15, 2007PECOS EnrolledAccepts Medicare Assignment

1044 BELMONT AVE, YOUNGSTOWN, OH 44504(330) 480-3709(330) 480-2568 Get Directions Write a Review

NPPES record last updated: September 30, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Miss Kristen Lynne Kidd Pa-c NPPES

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

MISS KRISTEN LYNNE KIDD PA-C (NPI 1992839575) is an individual physician assistant in Youngstown, Ohio, licensed in Ohio (50-001735) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Hmhp St Elizabeth Boardman Health Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1992839575

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMISS KRISTEN LYNNE KIDDCredential: PA-C

Location Address1044 BELMONT AVEYoungstown, OH 44504-1006

Mailing AddressPo Box 636988Cincinnati, OH 45263-6988 · (888) 940-2722 · Fax (513) 632-8898

Phone(330) 480-3709

Fax(330) 480-2568

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateMarch 15, 2007

Last NPPES UpdateSeptember 30, 2015

✔ NPI 1992839575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OH · 50-001735

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1044 BELMONT AVE, Youngstown, OH 44504

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Other Identifiers 2

Medicaid0084823OH

Medicare UPINP93569OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.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

Miss Kristen Lynne Kidd Pa-c 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 ID3870768856

PECOS Enrollment IDI20111203000090

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.

Hospital Affiliations CMS Care Compare

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

Hmhp St Elizabeth Boardman Health Center

Acute Care Hospitals · Boardman, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360276

Location8401 Market StreetBoardman, OH 44512 · Mahoning County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44504 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

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. MICHAEL ALLEN VAN WINKLE D.O

Internal Medicine