Krystina Lyn Pouliot, APRN, CNP - Medicare Nurse Practitioner in Salem, OH

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Krystina Lyn Pouliot, APRN, CNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Salem, Ohio. Her current practice location is 2511 Bentley Dr, Salem, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 502-4224.

Krystina Lyn Pouliot is licensed to practice in Ohio (license number APRN.CNP.0031937) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1851728679.

Contact Information

Krystina Lyn Pouliot, APRN, CNP
2511 Bentley Dr,
Salem, OH 44460-2503
(330) 502-4224
Not Available

Map and Direction




Provider's Profile

Full NameKrystina Lyn Pouliot
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location2511 Bentley Dr, Salem, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1851728679
  • Provider Enumeration Date: 10/11/2013
  • Last Update Date: 02/14/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3173888542
  • Enrollment ID: I20220915002609

Medical Identifiers

Medical identifiers for Krystina Lyn Pouliot such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851728679NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care APRN.CNP.0031937 (Ohio)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Krystina Lyn Pouliot allows following entities to bill medicare on her behalf.
Entity NameNephrology Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841217825
PECOS PAC ID: 0840227674
Enrollment ID: O20050722000477
Entity NamePa Post Acute Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255057063
PECOS PAC ID: 7911374905
Enrollment ID: O20240312002651

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Krystina Lyn Pouliot is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Krystina Lyn Pouliot, APRN, CNP
221 E Main St,
Canfield, OH 44406-1321

Ph: (330) 502-4224		Krystina Lyn Pouliot, APRN, CNP
2511 Bentley Dr,
Salem, OH 44460-2503

Ph: (330) 502-4224

Reviews and Comments


Nurse Practitioner Nurses in Salem, OH

Betsy Jo Garwood-wilhelm, NP-C
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Practice Location: 1995 E State St, Salem, OH 44460
Phone: 330-332-7672    Fax: 330-332-7674
Christa Kempinski, APRN
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Medicare: Medicare Enrolled
Practice Location: 564 E 2nd St, Salem, OH 44460
Phone: 234-567-8150    
Lindsay Marie Landis, NP
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Practice Location: 564 East Second Street, Salem, OH 44460
Phone: 330-482-9350    Fax: 330-332-7915
Bridget Nance, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2094 E State St Ste G, Salem, OH 44460
Phone: 330-337-0177    
Malissa Sue Stewart, RN, MSN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1200 E 6th St, Salem, OH 44460
Phone: 330-332-8905    
Beth Earles,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1995 E State St, Salem, OH 44460
Phone: 330-337-4940    
Kellie Klimis,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2360 Southeast Blvd, Salem, OH 44460
Phone: 330-337-1134    Fax: 330-337-1008

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.