Individual provider Active NPI

Kimberly Lynn Sadler, APRN CNP

  • Family Nurse Practitioner
  • Saint Marys, OH
National Provider Identifier
1235620956
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
022778 Issued in OH
Practice address
1050 East Greenville Rd
Saint Marys, OH 45885
Phone
(419) 394-3331
Fax
(419) 394-3330
NPI assigned
May 29, 2018
Last updated
Feb 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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 022778 OH Primary

Addresses

Primary practice location

1050 East Greenville Rd
Saint Marys, OH 45885

Mailing address

1009 Timber TRL
Wapakoneta, OH 45895-9478
Phone (419) 203-2414

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
I20180918003092 OH Practitioner - Nurse Practitioner 7315298155 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wright State University Boonshoft School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatologists of Southwestern Ohio, LLCGroup PAC ID 7113973041, 116 clinicians

Practice addresses (Care Compare)

1050 E Greenville Rd
Saint Marys, OH 45885-9345
Phone (419) 394-3331

5300 Far Hills Ave
Dayton, OH 45429-2381
Phone (937) 433-7536

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.82 of 100Reported as group
Quality
78.41
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022778OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wheatland Dermatology LLC CurrentSince Jul 19, 2018 Accepting new patients
Dermatologists of Southwestern Ohio, LLC. CurrentSince Jul 7, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

5300 Far Hills Ave
Dayton, OH 45429
Phone (513) 433-7536

1050 E Greenville Rd
Saint Marys, OH 45885
Phone (419) 394-3331

1165 S Knoxville Ave
Ste 100
Saint Marys, OH 45885
Phone (419) 394-3331

Interoperability endpoints

  • Direct secure messaging: ksadler@dermswohio.emadirect.md

Organizations & group practices 3

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

Hospital & facility affiliations 1

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": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1235620956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 TIMBER TRL",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458959478",
            "telephone_number": "419-203-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 EAST GREENVILLE RD",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "45885",
            "telephone_number": "419-394-3331",
            "fax_number": "419-394-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADLER",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "credential": "APRN CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2023-02-02",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "022778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, OH

Sources for this page

Verify at the official NPI Registry.