NPIMap

Individual provider Active NPI

Karla Marie Dean, FNP-C

  • Family Nurse Practitioner
  • Wilmington, OH
National Provider Identifier
1255928263
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0027679 Issued in OH
Practice address
140 W Main St
Wilmington, OH 45177-2239
Phone
(937) 481-2930
Fax
(937) 382-4717
NPI assigned
Dec 23, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 28

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.

View all 28

Hospital & facility affiliations 2

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

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
Healthsource of Ohio Inc 56 clinicians

Practice addresses (Care Compare)

140 W Main St
Wilmington, OH 45177-2239
Phone (937) 481-2930

Hospital & facility affiliations

  • CMH Home Health Care Home health agency, Wilmington, OH, CCN 367240
  • Trihealth Clinton Regional Hospital Hospital, Wilmington, OH, CCN 360175

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210216002496 OH Practitioner - Nurse Practitioner 1254746605 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0027679OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Ohio LLC Family CurrentSince Feb 15, 2021 Accepting new patients
Healthsource of Ohio, Inc. CurrentSince Jan 9, 2023 Accepting new patients
Healthsource of Ohio, Inc. Current Accepting new patients
Healthsource of Ohio, Inc. CurrentSince Jan 9, 2023 Accepting new patients
Healthsource of Ohio, Inc. Past Accepting new patients
Healthsource of Ohio, Inc. Past Accepting new patients

Locations

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

3165 Dayton Xenia Rd
Dayton, OH 45434
Phone (937) 431-8230

424 Wards Corner Rd
Ste 200
Loveland, OH 45140
Phone (513) 707-4041

140 W Main St
Wilmington, OH 45177
Phone (937) 481-2930

Interoperability endpoints

  • Direct secure messaging: karla.deanaprn.p1@direct.hsohio.nextgenshare.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0027679 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

140 W Main St
Wilmington, OH 45177-2239

Mailing address

424 Wards Corner Rd Ste 200
Loveland, OH 45140-6966
Phone (513) 576-7700

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0434778MedicaidOH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 13, 2022.

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1255928263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 WARDS CORNER RD STE 200",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451406966",
            "telephone_number": "513-576-7700",
            "fax_number": "513-576-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W MAIN ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772239",
            "telephone_number": "937-481-2930",
            "fax_number": "937-382-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "KARLA",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0027679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0434778",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, OH

Sources for this page

Verify at the official NPI Registry.