Individual provider Active NPI

Kari Marie Vance, NP-C

  • Nurse Practitioner
  • Newark, OH
National Provider Identifier
1720646037
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
024654 Issued in OH
Practice address
1717 W Main St Ste 203
Newark, OH 43055-1362
Phone
(220) 564-2950
NPI assigned
Jun 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 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 024654 OH Primary

Addresses

Primary practice location

1717 W Main St Ste 203
Newark, OH 43055-1362

Mailing address

1717 W Main St Ste 203
Newark, OH 43055-1362
Phone (220) 564-2950

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kvance14553@lickingmemorial.medicity.net

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
I20200804000988 OH Practitioner - Nurse Practitioner 8820413123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1717 W Main St
Suite 203
Newark, OH 43055-1362
Phone (220) 564-2950

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.98 of 100Reported as group
Quality
75.66
Promoting interoperability
100
Improvement activities
40
Cost
75.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024654OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Licking Memorial Hospital Current Accepting new patients
Licking Memorial Health Professionals Current Accepting new patients
Licking Memorial Professional Corporation CurrentSince Oct 7, 2020 Accepting new patients
Licking Memorial Professional Corporation CurrentSince Oct 7, 2020 Accepting new patients
Licking Memorial Professional Corp. Past Accepting new patients
Fairfield Medical Center PastSince Apr 1, 2020 Accepting new patients

Locations

1320 W Main St
Newark, OH 43055
Phone (740) 348-4151

120 McMillen Dr
Newark, OH 43055
Phone (220) 564-4806

1717 W Main St
Apt 203
Newark, OH 43055
Phone (220) 564-2950

Organizations & group practices 6

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 1

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": "1559347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1720646037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W MAIN ST STE 203",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551362",
            "telephone_number": "220-564-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W MAIN ST STE 203",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551362",
            "telephone_number": "220-564-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "KARI",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-01",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "024654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kvance14553@lickingmemorial.medicity.net",
            "affiliation": "N",
            "address_1": "1717 W Main St Ste 203",
            "city": "Newark",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430551362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.