CHARITY L KRISTIANSEN — NPI 1164010542 (Licensed & Credentialed Homemaker in GENOA, OH)

CMS-1500 Box 24J / 33a • NPI

1164010542

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

376J00000X

Licensed & Credentialed Homemaker

Box 32 Service Location & ZIP+4

303 MAIN ST, GENOA, OH, 43430-1610

✓ 9-Digit EDI 837 ZIP+4 (43430-1610)

Practice Phone & Referral Fax

(567) 225-4788

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1164010542 (CHARITY L KRISTIANSEN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1164010542` (NPI-1 Individual Practitioner)
Provider / Legal Name	CHARITY L KRISTIANSEN
Plain-English Specialty	Licensed & Credentialed Homemaker NUCC Code: `376J00000X` (Homemaker)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	303 MAIN ST, GENOA, OH, 43430-1610
Practice Telephone / Fax	Tel: (567) 225-4788
Administrative Mailing Address	303 MAIN ST, GENOA, OH, 43430-1610
Enumeration & Last Sync	Enumerated: 2021-01-01 \| CMS Record Updated: 2021-01-01

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

303 MAIN ST, GENOA, OH, 43430-1610

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Plain-English Taxonomy & CMS Crosswalk (376J00000X)

What Does Taxonomy Code 376J00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 376J00000X translates to:
"Licensed & Credentialed Homemaker"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Homemaker for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CHARITY L KRISTIANSEN)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`172A00000X` — Driver Plain English: Licensed & Credentialed Driver	State: N/A \| License: `Verified` \| Primary: Secondary
`376J00000X` — Homemaker Plain English: Licensed & Credentialed Homemaker	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CHARITY L KRISTIANSEN (NPI #1164010542)