KRISTEN J MIZUMOTO (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1225388689

KRISTEN J MIZUMOTO (NP) is a healthcare provider. based in Mentor, Ohio. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials NP. They hold a License No. COA13309 (OH). The NPI Number for KRISTEN J MIZUMOTO (NP) is 1225388689

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN J MIZUMOTO (NP)
NPI
1225388689
Phone
(440) 639-3509
Address
5930 HEISLEY RD
Enumeration Date
13 September 2012
Last Update Date
31 January 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6148895722
Graduation Year
2011 (15 years ago)
PAC ID
6608024393
Group Practice PAC ID
8224020466
Professional Enrollment ID
I20120921000587
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for KRISTEN J MIZUMOTO (NP)

  • 5930 HEISLEY RD

    NEIGHBORING

    MENTOR, OH 440601834

    Phone: (440) 639-3509

    Fax: (440) 352-2040

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 100 Open Payments records for all available years, with a total value of $1,519.

Total Amount is formed as General ($1,519) + Research ($0) + Ownership ($0) = $1,519.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($396).

Total Amount

$1,519

General + Research + Ownership

Payments

100

Total payment records

General Amount

$1,519

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44060)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224020466View full group profile
NameSpecialtyState
Nurse PractitionerOH
Clinical Social WorkerOH
Mental Health CounselorOH
Clinical Social WorkerOH
-OH
Mental Health CounselorOH
Clinical Social WorkerOH
Mental Health CounselorOH
Nurse PractitionerOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

How do payers reference KRISTEN J MIZUMOTO (NP)?
For KRISTEN J MIZUMOTO (NP), use NPI 1225388689 as the unique 10-digit identifier.
Would KRISTEN J MIZUMOTO (NP) appear as active to a payer?
You can treat KRISTEN J MIZUMOTO (NP) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is KRISTEN J MIZUMOTO (NP)?
KRISTEN J MIZUMOTO (NP) is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is KRISTEN J MIZUMOTO (NP) located near Mentor?
KRISTEN J MIZUMOTO (NP) currently maps to Mentor, Ohio in this extract.
When was this NPI issued?
Enumeration for KRISTEN J MIZUMOTO (NP) is noted as September 13, 2012 where the registry provides it.

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