NPIMap

Individual provider Active NPI

Nancy Lynn Wolters, CNP

  • Family Nurse Practitioner
  • Celina, OH
National Provider Identifier
1417931775
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-08615 Issued in OH
Practice address
801 Pro Dr Ste a
Celina, OH 45822-3301
Phone
(419) 586-3113
NPI assigned
Nov 30, 2005
Last updated
Mar 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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 NP-08615 OH Primary

Addresses

Primary practice location

801 Pro Dr Ste a
Celina, OH 45822-3301

Mailing address

3650 Menchhofer Rd
Coldwater, OH 45828-9749
Phone (419) 678-8329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060220000115 OH Practitioner - Nurse Practitioner 8527073121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M E D F Physicians CorporationGroup PAC ID 9133109903, 47 clinicians

Practice addresses (Care Compare)

801 Pro Dr
Suite a
Celina, OH 45822-3301
Phone (419) 586-3113

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP-08615OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M E D F Physicians Corporation CurrentSince Apr 11, 2009 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

801 Pro Dr
Ste A
Celina, OH 45822
Phone (419) 586-3113

950 S Main St
Celina, OH 45822
Phone (419) 586-1611

950 S Main St
Ste 10
Celina, OH 45822
Phone (419) 586-1118

950 S Main St
Ste 3
Celina, OH 45822
Phone (419) 586-3017

800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341

830 W Main St
Coldwater, OH 45828
Phone (419) 678-5271

Interoperability endpoints

  • Direct secure messaging: nwolters442932@direct.osumc.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1417931775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 MENCHHOFER RD",
            "city": "COLDWATER",
            "state": "OH",
            "postal_code": "458289749",
            "telephone_number": "419-678-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PRO DR STE A",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458223301",
            "telephone_number": "419-586-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLTERS",
        "first_name": "NANCY",
        "middle_name": "LYNN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP-08615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celina, OH

Sources for this page

Verify at the official NPI Registry.