Individual provider Active NPI

Caitlyn Schlie Fannin, CNP

  • Family Nurse Practitioner
  • Wilmington, OH
National Provider Identifier
1316610819
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0029007 Issued in OH
Practice address
2845 Progress Way
Wilmington, OH 45177-7704
Phone
(937) 366-1082
NPI assigned
Jul 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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.0029007 OH Primary

Addresses

Primary practice location

2845 Progress Way
Wilmington, OH 45177-7704

Mailing address

2845 Progress Way
Wilmington, OH 45177-7704

Other names 1

  • Caitlyn Marie Schlie Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210823001204 OH Practitioner - Nurse Practitioner 4688079122 Reassigns benefits to 3 organizations
I20240630000013 FL Practitioner - Nurse Practitioner 4688079122 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians

Practice addresses (Care Compare)

8383 N Davis Hwy
W Florida Hospital
Pensacola, FL 32514-6088
Phone (850) 494-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0029007OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CG Medical Associates Inc CurrentSince Aug 1, 2021 Accepting new patients
Paragon Emergency Services LLC CurrentSince Jun 1, 2024 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Nov 16, 2021 Accepting new patients
Pensacola Emergency Physicians, LLC CurrentSince Jan 5, 2026 Accepting new patients
Qualified Emergency Specialists Inc CurrentSince Dec 1, 2022 Accepting new patients
Pensacola Emergency Physicians, LLC CurrentSince Jan 5, 2026 Accepting new patients

Locations

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

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

100 Arrow Springs Blvd
Lebanon, OH 45036
Phone (513) 282-7000

824 Main St
Milford, OH 45150
Phone (513) 774-5606

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

110 N Poplar St
Oxford, OH 45056
Phone (513) 523-2111

2845 Progress Way
Wilmington, OH 45177
Phone (937) 366-1082

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: caitlyn.fannin@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 6

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": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1316610819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 PROGRESS WAY",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451777704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 PROGRESS WAY",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451777704",
            "telephone_number": "937-366-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANNIN",
        "first_name": "CAITLYN",
        "middle_name": "SCHLIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0029007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLYN",
            "last_name": "SCHLIE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, OH

Sources for this page

Verify at the official NPI Registry.