Active NPI
Christie Dawn Wetzel, CNP
- Psychiatric/Mental Health Nurse Practitioner
- Harrison, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- NP-08371
- Practice address
- 10450 New Haven Rd
Harrison, OH 45030-2780 - Phone
- (513) 981-5852
- Fax
- (513) 367-8031
- NPI assigned
- May 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN-1086382 | KY | |
| Family Nurse Practitioner | 363LF0000X | NP-08371 | OH | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN-1086382 | KY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 82214 | KS | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP-08371 | OH | Primary |
Addresses
Primary practice location
10450 New Haven Rd
Harrison, OH 45030-2780
Mailing address
10450 New Haven Rd
Harrison, OH 45030-2780
Phone (513) 981-5852
Other practice location 1
10450 New Haven Rd
Harrison, OH 45030-2780
Phone (513) 981-5852
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200531140 | Medicaid | IN | |
| 2595893 | Medicaid | OH | |
| 78015369 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, VA, MN, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9773 | MN | MD | Physical Therapist |
| 82214 | KS | MD | Psychiatric/Mental Health Nurse Practitioner |
| RN-1086382 | KY | MD | Psychiatric/Mental Health Nurse Practitioner |
| NP-08371 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital District No 1 Crawford County | Current | Accepting new patients | |
| Vernon J Harris East End Community Health Center | Current | Accepting new patients | |
| Hospital District No 1 Crawford County | Current | Accepting new patients | |
| Open Door Health Center | Current | Accepting new patients | |
| Vernon J Harris East End Community Health Center | Current | Accepting new patients | |
| Jennie Stuart Medical Center Inc | Current | Accepting new patients | |
| Vernon J Harris East End Community Health Center | Current | Accepting new patients | |
| Open Door Health Center | Current | Accepting new patients | |
| County of Murray | Current | Accepting new patients | |
| Jennie Stuart Medical Center Inc | Family | Current | Accepting new patients |
| Jennie Stuart Medical Center Inc | Family | Current | Accepting new patients |
Locations
109 S Main St
Fort Scott, KS 66701
Phone (620) 223-7008
302 N Hospital Dr
Girard, KS 66743
Phone (620) 724-8291
222 W 18th St
Hopkinsville, KY 42240
Phone (270) 886-3962
105 Keeton Dr
Hopkinsville, KY 42240
Phone (270) 887-6565
10755 Eagle Way
Ste 202
Hopkinsville, KY 42240
Phone (270) 887-5640
309 Holly Ln
Mankato, MN 56001
Phone (507) 388-2120
2042 Juniper Ave
Slayton, MN 56172
Phone (507) 836-1227
2025 E Main St
Ste 105
Richmond, VA 23223
Phone (804) 253-1968
2809 North Ave
Ste 206
Richmond, VA 23222
Phone (804) 525-1818
1718 Williamsburg Rd
Richmond, VA 23231
719 N 25th St
Richmond, VA 23223
Phone (804) 253-1969
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EJBDAA
Organizations & group practices 11
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.
-
- Nurse Practitioner
- Girard, KS
- NPI 1508897182
-
- Federally Qualified Health Center (FQHC)
- Mankato, MN
- NPI 1891740908
-
dba Capital Area Health Network
- Federally Qualified Health Center (FQHC)
- Richmond, VA
- NPI 1295707966
-
dba Girard Medical Center of Fort Scott
- Rural Health Clinic/Center
- Fort Scott, KS
- NPI 1093426470
-
- Family Nurse Practitioner
- Hopkinsville, KY
- NPI 1790086767
-
dba Jennie Stuart Family Health
- Rural Health Clinic/Center
- Hopkinsville, KY
- NPI 1912627605
-
- Federally Qualified Health Center (FQHC)
- Shakopee, MN
- NPI 1114446283
-
dba Capital Area Health Network - Henderson Health Services
- Federally Qualified Health Center (FQHC)
- Richmond, VA
- NPI 1366920530
-
dba Capital Area Health Network - Southside Medical Center
- Federally Qualified Health Center (FQHC)
- Richmond, VA
- NPI 1871818153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1689622722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10450 NEW HAVEN RD",
"city": "HARRISON",
"state": "OH",
"postal_code": "450302780",
"telephone_number": "513-981-5852",
"fax_number": "513-367-8031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10450 NEW HAVEN RD",
"city": "HARRISON",
"state": "OH",
"postal_code": "450302780",
"telephone_number": "513-981-5852",
"fax_number": "513-367-8031"
}
],
"practiceLocations": [
{
"address_1": "10450 New Haven Rd",
"address_purpose": "LOCATION",
"city": "Harrison",
"state": "OH",
"postal_code": "450302780",
"country_code": "US",
"telephone_number": "513-981-5852",
"fax_number": "513-367-8031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WETZEL",
"first_name": "CHRISTIE",
"middle_name": "DAWN",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "RN-1086382",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "NP-08371",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "RN-1086382",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KS",
"license": "82214",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "NP-08371",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200531140",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2595893",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78015369",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrison, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.