Physician Compare National (NPI:1609284165)

HEALTHCARE PROVIDER: KRISTIN R CAUDILL CNP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1609284165
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0547489312
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140910001901
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BROWNING
	Individual professional last name
Provider First Name	KRISTIN
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2014
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	535 LEXINGTON AVE
	Group Practice or individual's line 1 address
City	MANSFIELD
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	449071502
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	360118
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	OHIOHEALTH MANSFIELD HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y