Individual provider Active NPI

Kelly Scheck, AGNP

  • Gerontology Nurse Practitioner
  • Wooster, OH
National Provider Identifier
1346044153
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
0039744 Issued in OH
Practice address
1739 Cleveland Rd
Wooster, OH 44691-2203
Phone
(330) 262-2500
NPI assigned
Apr 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 374703 OH
Gerontology Nurse Practitioner 363LG0600X 0039744 OH Primary

Addresses

Primary practice location

1739 Cleveland Rd
Wooster, OH 44691-2203

Mailing address

1504 Wittmer Rd
Mansfield, OH 44903-9431
Phone (419) 989-0647

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
I20250821003264 OH Practitioner - Nurse Practitioner 1658871967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare 2000 Community Clinic IncGroup PAC ID 3173743689, 14 clinicians

Practice addresses (Care Compare)

1739 Cleveland Rd
Wooster, OH 44691-2203
Phone 3302622500102

Hospital & facility affiliations

  • Wooster Community Hospital Hospital, Wooster, OH, CCN 360036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
374703OHMDMedical-Surgical Registered Nurse
0039744OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare 2000 Community Clinic Inc Current Accepting new patients
Healthcare 2000 Community Clinic Inc CurrentSince Aug 1, 2025 Accepting new patients

Locations

1739 Cleveland Rd
Wooster, OH 44691
Phone (330) 262-2500

1874 Cleveland Rd
Wooster, OH 44691
Phone (330) 262-2500

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 1

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": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1346044153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 WITTMER RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449039431",
            "telephone_number": "419-989-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 CLEVELAND RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912203",
            "telephone_number": "330-262-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHECK",
        "first_name": "KELLY",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "OH",
            "license": "374703",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "0039744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.