Kory Michael Waite

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.0038968 Issued in OH

Practice address

126 Seneca Dr
Marietta, OH 45750-1242

Phone

(740) 509-3875

NPI assigned

Apr 3, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

At Your Door Visiting Healthcare Services LLCGroup PAC ID 0042522344, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Genesis Hospital Hospital, Zanesville, OH, CCN 360039
• Selby General Hospital Hospital, Marietta, OH, CCN 361319

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26301/brand/1/csg/1/fhir/r4
• Direct secure messaging: kory.waite.p14@direct.pgseo.nextgenshare.com

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.

• At Your Door Visiting Healthcare Services, LLC

  • Family Nurse Practitioner
  • Columbus, OH
  • NPI 1750760849

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Ayd - Value Based Services LLC

  • Family Nurse Practitioner
  • Columbus, OH
  • NPI 1669363362

  Single Specialty

  Medicare reassignment NPD
• Provider Partners Care Management LP

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1013348028

  OH, Single Specialty

  Medicare reassignment NPD
• Cambridge Recovery LLC

  • Psychiatric Hospital
  • Cambridge, OH
  • NPI 1548977051

  Single Specialty

  NPD (past)
• Health First Medical Center

  • Family Medicine Physician
  • Gahanna, OH
  • NPI 1760940316

  Single Specialty

  NPD (past)

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

• Genesis Healthcare System

  • Community/Retail Pharmacy
  • Zanesville, OH
  • NPI 1184435414

  Hospital

  Care Compare affiliation
• Genesis Healthcare System

  dba Genesis Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Zanesville, OH
  • NPI 1477150951

  Hospital

  Care Compare affiliation
• Genesis Healthcare System

  • General Acute Care Hospital
  • Zanesville, OH
  • NPI 1598868655
  Care Compare affiliation
• Genesis Healthcare System

  dba Genesis Outpatient Pharmacy 1C

  • Community/Retail Pharmacy
  • Coshocton, OH
  • NPI 1710839436

  Hospital

  Care Compare affiliation
• Selby General Hospital

  • Critical Access Hospital
  • Marietta, OH
  • NPI 1124073465
  Care Compare affiliation

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1336943802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 SENECA DR",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501242",
            "telephone_number": "740-509-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 SENECA DR",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501242",
            "telephone_number": "740-509-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITE",
        "first_name": "KORY",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0038968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Marie Waddell, MSN, APRN, PMHNP-BC
• Kassey Wagner
• Natasha Wagner
• Sally Marie Wagner, PTA
• Katherine Waite
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2078)
• Wal-Mart Stores East, LP (Vision Center 30-2078)
• Walgreen Co. (Walgreens #11293)
• Bobbie Jo Walker, APRN
• Mary L Walker

• Family Nurse Practitioner in Marietta, OH
• Providers in Marietta, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.