Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristen Van Staalduinen

Individual provider Family Nurse Practitioner · NPI 1578010740

Kristen Van Staalduinen is a Nurse Practitioner in Waynesville, Ohio. Graduated from University of Cincinnati College of Medicine in 2016, 10 years ago. Practices with Providence Medical Group, a 29-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
10
Trained at
University of Cincinnati College of Medicine
Licensed in
OH
In the registry since
2016
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Practice location Address checks out

4353 E State Route 73 Ste 120
Waynesville, OH 45068-8812
Phone: (937) 897-0085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 019760 (OH)

Record details

NPI number1578010740
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 6, 2016
Last updated in NPPESNovember 23, 2022
Certification dateNovember 23, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Providence Medical Group — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Waynesville