KRISTINA MARIE STALLARD (MS, RN, NP-C) – Family Nurse Practitioner, NPI 1972953032
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
14,989 NURSE PRACTITIONER in OH
Provider Addresses for KRISTINA MARIE STALLARD (MS, RN, NP-C)
3120 Governors Place Blvd
Dayton, OH 454091328
Phone: (937) 293-1622
Fax: (937) 245-6308
Type: Location
8881 N Main St
Dayton, OH 454151333
Phone: (937) 293-1622
Fax: (937) 245-6308
Type: Location
3120 GOVERNORS PLACE BLVD
DAYTON, OH 454091328
Phone: (937) 293-1622
Fax: (937) 245-6308
Type: Location
6680 POE AVE STE 200
DAYTON, OH 454142855
Phone: (937) 280-8400
Fax: (937) 245-6308
Type: Mailing
9000 N MAIN ST STE G-36
ENGLEWOOD, OH 454151183
Phone: (937) 293-1622
Fax: (937) 245-6308
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $474.
Total Amount is formed as General ($474) + Research ($0) + Ownership ($0) = $474.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($115).
Total Amount
$474
General + Research + Ownership
Payments
20
Total payment records
General Amount
$474
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | $115 |
| Lundbeck LLC | $61 |
| Kyowa Kirin, Inc. | $46 |
| Sandoz Inc. | $41 |
| Octapharma USA, Inc. | $37 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-03-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161102001789 | I | Nurse Practitioner | OH | TBD |
| I20240411001331 | I | Nurse Practitioner | VA | TBD |
| I20260121002729 | I | Nurse Practitioner | DC | TBD |
| I20260310001827 | I | Nurse Practitioner | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 45409)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH | |
| - | OH | |
| Nurse Practitioner | OH |
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