Kaleigh Donnamiller, NP-C – Family Nurse Practitioner

Key facts

NPI: 1497200919
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: APRN.CNP.019506 (OH)
Practice address: 315 Crestwood Dr
Willard, OH 44890-1652
Phone: (419) 935-0196
Fax: (419) 933-7616
NPI assigned: Aug 25, 2016
Sex: Female
Sole proprietor: Yes

Organizations & group practices 3

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.

Northern Ohio Medical Specialists LLC Internal Medicine Physician · Sandusky, OH · NPI 1225085855

Medicare reassignment NPD OH
Northern Ohio Medical Specialists, LLC Durable Medical Equipment & Medical Supplies · Lorain, OH · NPI 1952281511

NPD
Northern Ohio Medical Specialists, LLC Radiology Clinic/Center · Sheffield Village, OH · NPI 1508811332

NPD (past)

Hospital & facility affiliations 1

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

Fisher-Titus Medical Center General Acute Care Hospital · Norwalk, OH · NPI 1992738959

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2016
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Northern Ohio Medical Specialists,LLC (252 clinicians)

Practice addresses (Care Compare)

44 Executive Dr
Norwalk, OH 44857-9566
Phone (419) 668-4851

Hospital & facility affiliations

Fisher-Titus Hospital Hospital · Norwalk, OH · CCN 360065

Medicare participation

Medicare fee-for-service enrollment: Enrolled in OH
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20160928000718	OH	Practitioner - Nurse Practitioner	0840587267	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

Practice roles

Organization	Status	New patients
Northern Ohio Medical Specialists LLC	Current since Jun 13, 2022	Accepting new patients
Northern Ohio Medical Specialists, LLC	Current since Jun 13, 2022	Accepting new patients
Northern Ohio Medical Specialists, LLC	Past	Accepting new patients

Locations

44 Executive Dr
Norwalk, OH 44857
Phone (419) 668-4851

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	APRN.CNP.019506	OH	Yes

Addresses

Primary practice location

315 Crestwood Dr
Willard, OH 44890-1652

Mailing address

315 Crestwood Dr
Willard, OH 44890-1652
Phone (419) 935-0196

Other identifiers

Identifier	Type	State	Issuer
0181869	Medicaid	OH

Other providers in Willard, OH

All providers in Willard, OH · Family Nurse Practitioner in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2017. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.