Individual provider Active NPI

Linda Weekley

  • Nurse Practitioner
  • Coshocton, OH
National Provider Identifier
1598187866
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
COA15462 Issued in OH
Practice address
311 S 15TH St Ste 101
Coshocton, OH 43812-1874
Phone
(740) 622-0332
Fax
(740) 622-0335
NPI assigned
Jan 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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 COA15462 OH Primary

Addresses

Primary practice location

311 S 15TH St Ste 101
Coshocton, OH 43812-1874

Mailing address

PO Box 933080
Cleveland, OH 44193-0034
Phone (740) 623-4369

Other identifiers 1

IdentifierTypeStateIssuer
0096109MedicaidOH

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
I20140206001681 OH Practitioner - Nurse Practitioner 7911136262 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Physician Services LLCGroup PAC ID 0143366591, 97 clinicians

Practice addresses (Care Compare)

110 Dublin Dr
Suite a
Dover, OH 44622-7805
Phone (330) 364-8038

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.78 of 100Reported as apm
Quality
89.46
Promoting interoperability
99.02
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA15462OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Union Physician Services, LLC CurrentSince Sep 23, 2024 Accepting new patients
Prime Healthcare Foundation - Coshocton LLC CurrentSince Sep 15, 2018 Accepting new patients
Coshocton County Memorial Hospital Association Current Accepting new patients
Prime Healthcare Foundation - Coshocton, LLC CurrentSince Sep 15, 2018 Accepting new patients
Spero Health of Ohio, LLC PastSince Apr 30, 2022 Accepting new patients

Locations

1801 W Olympic Blvd
Pasadena, CA 91199

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

311 S 15th St
Ste 101
Coshocton, OH 43812
Phone (740) 622-0332

110 Dublin Dr
#A
Dover, OH 44622
Phone (330) 364-8038

110 Dublin Dr
Dover, OH 44622
Phone (330) 340-8038

205 Hospital Dr
Dover, OH 44622
Phone (330) 343-3335

Organizations & group practices 5

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 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": "1388966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1598187866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933080",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930034",
            "telephone_number": "740-623-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S 15TH ST STE 101",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121874",
            "telephone_number": "740-622-0332",
            "fax_number": "740-622-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEKLEY",
        "first_name": "LINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-06",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA15462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0096109",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coshocton, OH

Sources for this page

Verify at the official NPI Registry.