Individual provider Active NPI

Kayla Marie Morris

  • Family Nurse Practitioner
  • Van Wert, OH
National Provider Identifier
1285371195
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0031328 Issued in OH
Practice address
1198 Westwood Dr Ste F
Van Wert, OH 45891-2478
Phone
(419) 771-1640
NPI assigned
May 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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.0031328 OH Primary

Addresses

Primary practice location

1198 Westwood Dr Ste F
Van Wert, OH 45891-2478

Mailing address

1198 Westwood Dr Ste F
Van Wert, OH 45891-2478
Phone (419) 771-1640

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
I20220902001998 OH Practitioner - Nurse Practitioner 4880078278 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hometown Family Practice LLCGroup PAC ID 1052722162, 2 clinicians
Wound Med LLCGroup PAC ID 2769916915, 33 clinicians

Practice addresses (Care Compare)

1198 Westwood Dr
Suite F
Van Wert, OH 45891-2478
Phone (419) 774-1640

3550 Northfield Rd
Shaker Heights, OH 44122-5249
Phone (216) 752-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Caremed Ohio LLC CurrentSince Jan 14, 2024 Accepting new patients
Wound Med LLC CurrentSince Nov 22, 2024 Accepting new patients
Hometown Family Practice, LLC CurrentSince May 1, 2023 Accepting new patients

Locations

300 Tice Blvd
Ste 175
Woodcliff Lake, NJ 07677

117 Jacob Parrot Rd
Kenton, OH 43326
Phone (419) 674-4197

1198 Westwood Dr
Ste F
Van Wert, OH 45891
Phone (419) 771-1640

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1285371195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1198 WESTWOOD DR STE F",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912478",
            "telephone_number": "419-771-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1198 WESTWOOD DR STE F",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912478",
            "telephone_number": "419-771-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-13",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0031328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Wert, OH

Sources for this page

Verify at the official NPI Registry.