Individual provider Active NPI

Wynand Nel, MD

  • Family Medicine Physician
  • Columbiana, OH
National Provider Identifier
1043669476
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.140004 Issued in OH
Practice address
107 Royal Birkdale Dr Ste a
Columbiana, OH 44408-8493
Phone
(330) 482-9350
Fax
(330) 482-2336
NPI assigned
Jun 7, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.140004 OH Primary

Addresses

Primary practice location

107 Royal Birkdale Dr Ste a
Columbiana, OH 44408-8493

Mailing address

107 Royal Birkdale Dr Ste a
Columbiana, OH 44408-8493
Phone (330) 482-9350

Other practice location 1

9471 Market St Ste A
North Lima, OH 44452-8702
Phone (330) 726-7100

Other practice location 2

340 Ridge Rd Ste 1
Newton Falls, OH 44444-1264
Phone (330) 429-0202

Other practice location 3

107 Royal Birkdale Dr Ste A
Columbiana, OH 44408-8493
Phone (330) 482-9350

Other practice location 4

9471 Market St Ste A
North Lima, OH 44452-8702
Phone (330) 726-7100

Other practice location 5

132 N Market St
East Palestine, OH 44413-2019
Phone (330) 426-9484

Other practice location 6

132 N Market St
East Palestine, OH 44413-2019
Phone (330) 426-9484

Other identifiers 1

IdentifierTypeStateIssuer
0001407MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220825003079 OH Practitioner - Family Practice 6901187061 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Youngstown, LLCGroup PAC ID 9234318270, 116 clinicians

Practice addresses (Care Compare)

8423 Market St
Suite 101
Boardman, OH 44512-6778
Phone (330) 729-8700

Hospital & facility affiliations

  • Patriot Homecare, Inc Home health agency, Girard, OH, CCN 368406
  • Mercy Health Home Care -Youngstown Home health agency, Girard, OH, CCN 367518
  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064
  • HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276
  • Salem Regional Medical Center Hospital, Salem, OH, CCN 360185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.140004OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown LLC CurrentSince Sep 11, 2022 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2023 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2023 Accepting new patients
Mercy Health Physicians Youngstown, LLC Family Medicine CurrentSince Sep 11, 2022 Accepting new patients
Covington SNF Inc. Past Accepting new patients
Mercy Health Youngstown LLC Past Accepting new patients

Locations

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

107 Royal Birkdale Dr
Ste A
Columbiana, OH 44408
Phone (330) 482-9350

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

132 N Market St
East Palestine, OH 44413
Phone (330) 337-3332

100 Covington Dr
East Palestine, OH 44413
Phone (330) 426-2029

340 Ridge Rd
Ste 1
Newton Falls, OH 44444
Phone (330) 872-0330

9471 Market St
Ste A
North Lima, OH 44452
Phone (330) 726-7100

8423 Market St
Youngstown, OH 44512
Phone (330) 793-7966

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

8423 Market St
Ste 101
Youngstown, OH 44512
Phone (330) 729-8700

Interoperability endpoints

  • Direct secure messaging: wnel225064@direct.bsmhealth.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1043669476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 ROYAL BIRKDALE DR STE A",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444088493",
            "telephone_number": "330-482-9350",
            "fax_number": "330-482-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 ROYAL BIRKDALE DR STE A",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444088493",
            "telephone_number": "330-482-9350",
            "fax_number": "330-482-2336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9471 Market St Ste A",
            "address_purpose": "LOCATION",
            "city": "North Lima",
            "state": "OH",
            "postal_code": "444528702",
            "country_code": "US",
            "telephone_number": "330-726-7100",
            "fax_number": "330-758-0347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Ridge Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Newton Falls",
            "state": "OH",
            "postal_code": "444441264",
            "country_code": "US",
            "telephone_number": "330-429-0202",
            "fax_number": "330-872-3033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Royal Birkdale Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Columbiana",
            "state": "OH",
            "postal_code": "444088493",
            "country_code": "US",
            "telephone_number": "330-482-9350",
            "fax_number": "330-482-2336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9471 Market St Ste A",
            "address_purpose": "LOCATION",
            "city": "North Lima",
            "state": "OH",
            "postal_code": "444528702",
            "country_code": "US",
            "telephone_number": "330-726-7100",
            "fax_number": "330-758-0347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "132 N Market St",
            "address_purpose": "LOCATION",
            "city": "East Palestine",
            "state": "OH",
            "postal_code": "444132019",
            "country_code": "US",
            "telephone_number": "330-426-9484",
            "fax_number": "330-426-2248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "132 N Market St",
            "address_purpose": "LOCATION",
            "city": "East Palestine",
            "state": "OH",
            "postal_code": "444132019",
            "country_code": "US",
            "telephone_number": "330-426-9484",
            "fax_number": "330-426-2248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEL",
        "first_name": "WYNAND",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.140004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001407",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbiana, OH

Sources for this page

Verify at the official NPI Registry.