Individual provider Active NPI

Kirk A Hummer, C.N.P.

  • Nurse Practitioner
  • Westerville, OH
National Provider Identifier
1285897561
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10076-NP Issued in OH
Practice address
500 S Cleveland Ave
Westerville, OH 43081-8971
Phone
(614) 794-0481
Fax
(614) 794-3711
NPI assigned
Jul 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 10076-NP OH Primary

Addresses

Primary practice location

500 S Cleveland Ave
Westerville, OH 43081-8971

Mailing address

575 Copeland Mill Rd
Suite 1D
Westerville, OH 43081-8977
Phone (614) 794-0481

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
I20090505000067 OH Practitioner - Nurse Practitioner 3476601220 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wedgewood Urgent Care, LTDGroup PAC ID 1557266129, 26 clinicians

Practice addresses (Care Compare)

4460 Lake Forest Dr
Suite 216
Blue Ash, OH 45242-3755
Phone (513) 281-4400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10076-NPOHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Health System Current Accepting new patients
Memorial Hospital of Union County CurrentSince Mar 10, 2015 Accepting new patients
Wedgewood Urgent Care, LTD CurrentSince Sep 1, 2008 Accepting new patients
Pro-Active Wound Care Clinics LLC PastSince Sep 1, 2008 Accepting new patients

Locations

4460 Lake Forest Dr
Ste 216
Blue Ash, OH 45242
Phone (614) 234-0600

120 Colemans Crossing Blvd
Ste B
Marysville, OH 43040
Phone (937) 578-4310

500 London Ave
Marysville, OH 43040
Phone (740) 420-8451

1958 E US Highway 36
Urbana, OH 43078
Phone (937) 652-1834

477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808

575 Copeland Mill Rd
Ste 1D
Westerville, OH 43081
Phone (614) 794-0481

444 N Cleveland Ave
Ste 130
Westerville, OH 43082
Phone (614) 839-1112

500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000

Interoperability endpoints

  • Direct secure messaging: khummer894135@direct.osumc.edu

Organizations & group practices 5

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": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1285897561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 COPELAND MILL RD",
            "address_2": "SUITE 1D",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818977",
            "telephone_number": "614-794-0481",
            "fax_number": "614-794-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S CLEVELAND AVE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818971",
            "telephone_number": "614-794-0481",
            "fax_number": "614-794-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMMER",
        "first_name": "KIRK",
        "middle_name": "A",
        "credential": "C.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "10076-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.