Individual provider Active NPI

Wanda Marie Poplin, APRN

  • Family Nurse Practitioner
  • Ironton, OH
National Provider Identifier
1346797982
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP.CNP.020018 Issued in OH
Practice address
912 Park Ave
Ironton, OH 45638-1596
Phone
(740) 534-0021
Fax
(740) 534-0029
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3010530 KY
Family Nurse Practitioner 363LF0000X ARNP.CNP.020018 OH Primary

Addresses

Primary practice location

912 Park Ave
Ironton, OH 45638-1596

Mailing address

P.O. Box 1595
Ashland, KY 41105-1595
Phone (606) 408-6200

Other practice location 1

399 Diederich Blvd
Ashland, KY 41101-7007
Phone (606) 324-8060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 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
I20161006002524 KY Practitioner - Nurse Practitioner 4183912116 Reassigns benefits to 2 organizations
I20180430001439 OH Practitioner - Nurse Practitioner 4183912116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashland Hospital CorporationGroup PAC ID 7719882521, shared by 6 NPIs, 169 clinicians

Practice addresses (Care Compare)

10015 US
Suite 23
Catlettsburg, KY 41129-1091
Phone (606) 739-6095

384 County Rd 120 So
South Point, OH 45680-7807
Phone (740) 894-2080

Hospital & facility affiliations

  • King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009

Merit-based Incentive Payment System (MIPS)

Final score
89.16 of 100Reported as group
Quality
77.42
Promoting interoperability
100
Improvement activities
40
Cost
77.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP.CNP.020018OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Daughters Medical Specialties Inc CurrentSince Nov 11, 2019 Accepting new patients
Ashland Hospital Corporation Family CurrentSince Mar 7, 2018 Accepting new patients
Ashland Hospital Corporation CurrentSince Sep 14, 2016 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Nov 11, 2019 Accepting new patients
Ashland Hospital Corporation Current Accepting new patients
Ashland Hospital Corporation Current Accepting new patients
Ashland Hospital Corporation CurrentSince Sep 14, 2016 Accepting new patients

Locations

398 Diederich Blvd
Ashland, KY 41101
Phone (606) 324-2055

617 23rd St
Ste 212
Ashland, KY 41101
Phone (606) 408-8485

2421 Winchester Ave
Ashland, KY 41101
Phone (606) 325-8485

617 23rd St
Ste 215
Ashland, KY 41101
Phone (606) 408-1260

399 Diederich Blvd
Ashland, KY 41101
Phone (606) 324-8060

12100 Princeland Spur
Ashland, KY 41102
Phone (606) 928-2963

12470 US Route 60
Ashland, KY 41102
Phone (606) 408-6303

2245 Winchester Ave
Ste 1
Ashland, KY 41101
Phone (606) 324-2554

10650 US Route 60
Ashland, KY 41102
Phone (606) 408-6301

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

4004 Louisa Rd
Catlettsburg, KY 41129
Phone (606) 739-6095

1109 Bellefonte Rd
Flatwoods, KY 41139
Phone (606) 420-0220

609 N Carol Malone Blvd
#100
Grayson, KY 41143
Phone (606) 474-7892

912 Park Ave
Ironton, OH 45638
Phone (740) 532-1100

384 County Road 120 S
South Point, OH 45680
Phone (740) 894-2080

Interoperability endpoints

  • Direct secure messaging: wpoplin59808@direct.kdhealth.us

Organizations & group practices 8

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1346797982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1595",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411051595",
            "telephone_number": "606-408-6200",
            "fax_number": "606-408-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 PARK AVE",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381596",
            "telephone_number": "740-534-0021",
            "fax_number": "740-534-0029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "399 Diederich Blvd",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411017007",
            "country_code": "US",
            "telephone_number": "606-324-8060",
            "fax_number": "606-324-3808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPLIN",
        "first_name": "WANDA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010530",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "ARNP.CNP.020018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ironton, OH

Sources for this page

Verify at the official NPI Registry.