Individual provider Active NPI

Kelly Lynn Mills, CNP

  • Family Nurse Practitioner
  • Zanesville, OH
National Provider Identifier
1336799873
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
024837 Issued in OH
Practice address
3195 Dickory Cir
Zanesville, OH 43701-6626
NPI assigned
Sep 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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 024837 OH Primary

Addresses

Primary practice location

3195 Dickory Cir
Zanesville, OH 43701-6626

Mailing address

3195 Dickory Cir
Zanesville, OH 43701-6626
Phone (740) 891-3387

Other names 1

  • Kelly Lynn Gilmartin Former name

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
I20200109001531 OH Practitioner - Nurse Practitioner 4284069865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Medical Group, LLCGroup PAC ID 7719040385, 265 clinicians

Practice addresses (Care Compare)

751 Forest Ave
Suite 101
Zanesville, OH 43701-2875
Phone (740) 454-5678

Hospital & facility affiliations

  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
024837OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Group LLC CurrentSince Jan 19, 2020 Accepting new patients
Genesis Medical Group, LLC CurrentSince Jan 19, 2020 Accepting new patients

Locations

61353 Southgate Rd
Ste 5
Cambridge, OH 43725
Phone (740) 421-9240

61353 Southgate Rd
Ste 1
Cambridge, OH 43725
Phone (740) 421-9250

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

945 Bethesda Dr
Ste 200
Zanesville, OH 43701
Phone (740) 454-4788

751 Forest Ave
Ste 101
Zanesville, OH 43701
Phone (740) 454-5678

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1336799873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 DICKORY CIR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437016626",
            "telephone_number": "740-891-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 DICKORY CIR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437016626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "024837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "GILMARTIN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.