NPIMap

Individual provider Active NPI

Katherine T. Zwiebel, CNP

  • Nurse Practitioner
  • Saint Marys, OH
National Provider Identifier
1689102881
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.020488 Issued in OH
Practice address
200 Saint Clair Ave Ste 101
Saint Marys, OH 45885-2400
Phone
(419) 394-9522
Fax
(419) 394-9523
NPI assigned
Jun 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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.CNP.020488 OH Primary

Addresses

Primary practice location

200 Saint Clair Ave Ste 101
Saint Marys, OH 45885-2400

Mailing address

200 Saint Clair Ave
Saint Marys, OH 45885-2400
Phone (419) 300-1129

Other identifiers 5

IdentifierTypeStateIssuer
34-1689161OtherOHGROUP TAX ID
0405065OtherOHMEDICAID GROUP
9934723OtherOHMEDICARE GROUP PTAN
H571042OtherOHMEDICARE PTAN
0228505MedicaidOH

Other names 1

  • Katherine Thomas Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katherinezwiebel@glhs.allscriptsdirect.net

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
I20170710003154 OH Practitioner - Nurse Practitioner 0446529291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JTDM Family Practice LLCGroup PAC ID 2163415837, 48 clinicians

Practice addresses (Care Compare)

200 Saint Clair Ave
Suite 101
Saint Marys, OH 45885-2400
Phone (419) 394-9522

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.44 of 100Reported as group
Quality
78
Promoting interoperability
96
Improvement activities
40
Cost
76.79

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
JTDM Family Practice LLC Family CurrentSince Apr 1, 2019 Accepting new patients
Joint Township District Memorial Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Orthopaedic Institute of Ohio, Inc. Past Accepting new patients

Locations

4463 State Route 66
Ste A
Minster, OH 45865
Phone (419) 628-3821

200 Saint Clair Ave
Ste 101
Saint Marys, OH 45885
Phone (419) 394-9522

1040 Hager St
Saint Marys, OH 45885
Phone (419) 394-9959

200 Saint Clair Ave
Saint Marys, OH 45885
Phone (419) 394-3387

Organizations & group practices 4

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 6

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": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1689102881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SAINT CLAIR AVE",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852400",
            "telephone_number": "419-300-1129",
            "fax_number": "419-394-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SAINT CLAIR AVE STE 101",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852400",
            "telephone_number": "419-394-9522",
            "fax_number": "419-394-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWIEBEL",
        "first_name": "KATHERINE",
        "middle_name": "T.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.020488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TAX ID",
            "identifier": "34-1689161",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "0405065",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "9934723",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H571042",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0228505",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katherinezwiebel@glhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "200 Saint Clair Ave Ste 101",
            "city": "Saint Marys",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458852400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "THOMAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Marys, OH

Sources for this page

Verify at the official NPI Registry.