Individual provider Active NPI

Larry Whetsell II, CNP

  • Nurse Practitioner
  • Canton, OH
National Provider Identifier
1588150882
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP023043 Issued in OH
Practice address
2223 Fulton Rd NW Ste 102
Canton, OH 44709-3554
Phone
(330) 456-3487
NPI assigned
Jul 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP023043 OH Primary

Addresses

Primary practice location

2223 Fulton Rd NW Ste 102
Canton, OH 44709-3554

Mailing address

3501 Lesh St NE
Canton, OH 44705-4376
Phone (330) 456-3487

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
I20180808000467 OH Practitioner - Nurse Practitioner 5597013581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Medical GroupGroup PAC ID 0749564557, 2 clinicians

Practice addresses (Care Compare)

2223 Fulton Rd NW
Suite 102
Canton, OH 44709-3554
Phone (330) 456-3487

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP023043OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Medical Group CurrentSince Aug 1, 2018 Accepting new patients

Locations

2223 Fulton Rd NW
Ste 102
Canton, OH 44709
Phone (330) 456-3487

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1588150882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 LESH ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447054376",
            "telephone_number": "330-456-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 FULTON RD NW STE 102",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447093554",
            "telephone_number": "330-456-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHETSELL",
        "first_name": "LARRY",
        "name_suffix": "II",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-10",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP023043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.