Individual provider Active NPI

Kelly Ann Twigg

  • Family Nurse Practitioner
  • Delphos, OH
National Provider Identifier
1174138481
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0027367 Issued in OH
Practice address
1800 E 5TH St
Delphos, OH 45833-9180
Phone
(419) 996-5030
Fax
(419) 996-5458
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0027367 OH Primary

Addresses

Primary practice location

1800 E 5TH St
Delphos, OH 45833-9180

Mailing address

5669 Shelley Rd
Rockford, OH 45882-9577
Phone (330) 730-9723

Other practice location 1

2195 Allentown Rd
Lima, OH 45805-1705
Phone (419) 227-2245

Other practice location 2

967 Bellefontaine Ave
Lima, OH 45804-2888
Phone (419) 996-5895

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220901003329 OH Practitioner - Nurse Practitioner 9830502723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Lima Specialty Care LLCGroup PAC ID 7012332364, 254 clinicians
Mercer County Joint Township Community HospitalGroup PAC ID 8820081755, 60 clinicians

Practice addresses (Care Compare)

1800 E 5TH St
Delphos, OH 45833-9180
Phone (419) 996-5030

800 W Main St
Coldwater, OH 45828-1613
Phone (419) 678-2341

Hospital & facility affiliations

  • Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066
  • Mercer County Joint Township Community Hospital Hospital, Coldwater, OH, CCN 360058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercer County Joint Township Community Hospital CurrentSince Apr 20, 2023 Accepting new patients
Mercer County Joint Township Community Hospital CurrentSince Apr 20, 2023 Accepting new patients
Diagnostic Pathology, LLC Current Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC CurrentSince Aug 28, 2022 Accepting new patients

Locations

950 S Main St
Celina, OH 45822
Phone (419) 586-1611

800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341

1800 E 5th St
Delphos, OH 45833
Phone (419) 692-2662

967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

2195 Allentown Rd
Lima, OH 45805
Phone (419) 227-2245

Interoperability endpoints

  • Direct secure messaging: ktwigg1331359@direct.bsmhealth.org

Organizations & group practices 7

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 3

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": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1174138481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5669 SHELLEY RD",
            "city": "ROCKFORD",
            "state": "OH",
            "postal_code": "458829577",
            "telephone_number": "330-730-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E 5TH ST",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "458339180",
            "telephone_number": "419-996-5030",
            "fax_number": "419-996-5458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2195 Allentown Rd",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458051705",
            "country_code": "US",
            "telephone_number": "419-227-2245",
            "fax_number": "419-229-1573",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "967 Bellefontaine Ave",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458042888",
            "country_code": "US",
            "telephone_number": "419-996-5895",
            "fax_number": "419-996-5896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TWIGG",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0027367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delphos, OH

Sources for this page

Verify at the official NPI Registry.