DR. JAMIE ANNE KISTLER M.D.
NPI 1720222904
Pediatrics - Neonatal-Perinatal Medicine in Boardman, OH

NPI Status: Active since May 01, 2009

Contact Information

8401 MARKET ST
BOARDMAN, OH
ZIP 44512
Phone: (330) 729-7633
Fax: (330) 729-7656

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  • Individual
  • Female
  • Pediatrics
  • Neonatal-Perinatal Medicine
  • Accepts Insurance
  • PECOS Enrolled

About JAMIE KISTLER

This page provides the complete NPI Profile along with additional information for Jamie Kistler, a pediatrician established in Boardman, Ohio with a medical specialization in Pediatrics, focusing in neonatal-perinatal medicine . The healthcare provider is registered in the NPI registry with number 1720222904 assigned on May 2009. The practitioner's primary taxonomy code is 2080N0001X with license number 35.099431 (OH). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1720222904
Provider Name
DR. JAMIE ANNE KISTLER M.D.
Other Name
JAMIE GODALE MD
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
8401 MARKET ST BOARDMAN, OH 44512
Location Phone
(330) 729-7633
Location Fax
(330) 729-7656
Mailing Address
1 PERKINS SQ AKRON, OH 44308
Mailing Phone
(330) 729-7633
Mailing Fax
(330) 729-7656
Is Sole Proprietor?
No
Enumeration Date
05-01-2009
Last Update Date
09-15-2015
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A pediatrician like Jamie Kistler is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Neonatal-Perinatal Medicine

Taxonomy Code
2080N0001X
Type
Allopathic & Osteopathic Physicians
License No.
35.099431
License State
OH
Taxonomy Description
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Bronze Standard - HMO
  • Catastrophic Standard - HMO
  • Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Gold Standard - HMO
  • Silver Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Silver Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Silver Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Silver Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Silver Standard - HMO
  • AultCare Bronze 7000 Select - PPO
  • AultCare Bronze 8550 Select No Pediatric Dental - PPO
  • AultCare Gold 1100 Select - PPO
  • AultCare Gold 1100 Select No Pediatric Dental - PPO
  • AultCare Silver 6550 Select No Pediatric Dental - PPO
  • AultCare Silver 7900 Premier Select No Pediatric Dental - PPO
  • AultCare Standard Bronze Select No Pediatric Dental - PPO
  • AultCare Standard Gold Select No Pediatric Dental - PPO
  • AultCare Standard Silver Premier Select No Pediatric Dental - PPO
  • AultCare Standard Silver Select No Pediatric Dental - PPO
  • AultCare Bronze 5500 - PPO
  • AultCare Bronze 7050 - PPO
  • AultCare Gold 1000 - PPO
  • AultCare Gold 1200 - PPO
  • AultCare Gold 1800 - PPO
  • AultCare Gold 2850 - PPO
  • AultCare Gold 3150 - PPO
  • AultCare Platinum 1200 - PPO
  • AultCare Platinum 1800 Health Savings 500 - PPO
  • AultCare Platinum 300 - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jamie Kistler is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DR. JAMIE ANNE KISTLER M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720222904
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
274042490
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 4 + 2 + 4 + 9 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1720222904 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730164682 MARY ELLEN BARRINGER DO
Individual
Emergency Medicine8401 MARKET ST
YOUNGSTOWN, OH 44512
(330) 729-2929
1134105638 VICTOR MCKEE M.D.
Individual
Emergency Medicine8401 MARKET ST
YOUNGSTOWN, OH 44512
(330) 729-2929
1184841348MS. DIANNE MARIE SCHIFFERLI RD, LD
Individual
Dietitian, Registered8401 MARKET ST
BOARDMAN, OH 44512
(330) 729-1691
1366742587MS. LESLIE E DUGAN RDLD
Individual
Dietitian, Registered8401 MARKET ST
BOARDMAN, OH 44512
(330) 729-1692
1508000852MRS. OLIVIA L MOLINAR PA
Individual
Physician Assistant8401 MARKET ST
BOARDMAN, OH 44512
(330) 286-5330
1740602341 MATTHEW GREGORY KNOWLSON CRNA
Individual
Nurse Anesthetist, Certified Registered8401 MARKET ST
BOARDMAN, OH 44512
(330) 729-2929
1558454769 SHAWN D SCHUSTER CNP
Individual
Nurse Practitioner8401 MARKET ST
BOARDMAN, OH 44512
(330) 729-7633
1770854341 SUSAN MARY ZIDERS CRNP
Individual
Nurse Practitioner (Neonatal, Critical Care)8401 MARKET ST
BOARDMAN, OH 44512
(330) 729-7633
1740217744 RONALD F. MULLIS M.D.
Individual
Anesthesiology8401 MARKET ST
BOARDMAN, OH 44512
(330) 729-2929
1417351669SELECT SPECIALTY HOSPITAL YOUNGSTOWN INC
Organization
Long Term Care Hospital8401 MARKET ST 7 SOUTH
BOARDMAN, OH 44512
(717) 972-1100
1740216613 JUDITH ANN CASTRONOVA CRNA
Individual
Nurse Anesthetist, Certified Registered8401 MARKET ST
BOARDMAN, OH 44512
(330) 729-2929
1407059983 JENNIFER MANNING DO
Individual
Pediatrics8401 MARKET ST
BOARDMAN, OH 44512
(330) 729-7633
1528455995 HEATHER BOUSCHER CNP
Individual
Nurse Practitioner8401 MARKET ST
BOARDMAN, OH 44512
(330) 729-7633
1962403345 DIANA LEE MULDER CRNP
Individual
Nurse Practitioner8401 MARKET ST
BOARDMAN, OH 44512
(330) 729-7633
1598839284 BEVERLY J MIKE-NARD RNC, MSN, CNNP
Individual
Nurse Practitioner8401 MARKET ST
BOARDMAN, OH 44512
(330) 729-7633
1801263116 ASHLEY NICOLE MORALES CNP
Individual
Nurse Practitioner8401 MARKET ST
BOARDMAN, OH 44512
(330) 729-7633
1629012950 KEITH A ROLLER MD
Individual
Anesthesiology8401 MARKET ST
BOARDMAN, OH 44512
(330) 286-5330
1881053726 JUSTIN LUKASIK DO
Individual
Emergency Medicine8401 MARKET ST
BOARDMAN, OH 44512
(330) 729-8757
1568447332 ALBERT AIAD-TOSS M.D.
Individual
Emergency Medicine8401 MARKET ST
YOUNGSTOWN, OH 44512
(330) 729-2929
1033296942 ANTONIUS SUSATYO HADI MD
Individual
Obstetrics & Gynecology8401 MARKET ST
BOARDMAN, OH 44512
(330) 729-4350

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720222904, enumerated in the NPI registry as an "individual" on May 01, 2009

The provider is located at 8401 Market St Boardman, Oh 44512 and the phone number is (330) 729-7633

The provider's speciality is Pediatrics with taxonomy code 2080N0001X with a focus in Neonatal-Perinatal Medicine

The provider might be accepting Accepts: Antidote Health Plan of Ohio, Inc. and AultCare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on May 01, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.