Individual provider Active NPI

Wanda J Meyers, NP

  • Gerontology Nurse Practitioner
  • Springfield, OH
National Provider Identifier
1356564058
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AG06250153 Issued in OH
Practice address
1117 E Home Rd
Springfield, OH 45503-2725
Phone
(937) 342-1619
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AG06250153 OH Primary
Primary Care Nurse Practitioner 363LP2300X AG06250153 OH
Interventional Pain Medicine Physician 208VP0014X AG06250153 OH

Addresses

Primary practice location

1117 E Home Rd
Springfield, OH 45503-2725

Mailing address

PO Box 734439
Chicago, IL 60673-4439
Phone (614) 383-6450

Other identifiers 1

IdentifierTypeStateIssuer
0143120MedicaidOH

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
I20250821000615 OH Practitioner - Nurse Practitioner 0446750871 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Pain Solutions IncorporatedGroup PAC ID 7214008978, 20 clinicians

Practice addresses (Care Compare)

1210 Gemini PL
Suite 300
Columbus, OH 43240-6112
Phone (614) 383-6450

Hospital & facility affiliations

  • Springfield Regional Medical Center Hospital, Springfield, OH, CCN 360086

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AG06250153OHMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Health Network LLC CurrentSince Nov 1, 2025 Accepting new patients
Integrated Pain Solutions Incorporated CurrentSince Oct 10, 2025 Accepting new patients
Regional Occupational Health Clinics, LLC CurrentSince Jul 30, 2025 Accepting new patients
Integrated Pain Solutions Incorporated Interventional Pain Medicine CurrentSince Oct 10, 2025 Accepting new patients
Ips ASC, LLC Interventional Pain Medicine Current Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

1210 Gemini Pl
Ste 300
Columbus, OH 43240
Phone (614) 220-5648

5100 Bradenton Ave
Ste A
Dublin, OH 43017
Phone (614) 766-5500

2818 Mack Rd
Fairfield, OH 45014
Phone (513) 860-3016

1690 Woodlands Dr
Ste 200
Maumee, OH 43537
Phone (419) 491-0420

1117 E Home Rd
Springfield, OH 45503
Phone (937) 342-1619

1835 E High St
Ste 2
Springfield, OH 45505
Phone (937) 322-8977

Organizations & group practices 7

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 2

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1356564058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734439",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606734439",
            "telephone_number": "614-383-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 E HOME RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032725",
            "telephone_number": "937-342-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "WANDA",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "AG06250153",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "AG06250153",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OH",
            "license": "AG06250153",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0143120",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.