Individual provider Active NPI

Kristin Marie Wenger, D.O.

  • Family Medicine Physician
  • Wooster, OH
National Provider Identifier
1730505793
Registry record updated Aug 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.012949 Issued in OH
Practice address
1604 Wedgewood Way
Wooster, OH 44691-1974
Phone
(614) 406-3037
Fax
(614) 880-9331
NPI assigned
Mar 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.012949 OH Primary

Addresses

Primary practice location

1604 Wedgewood Way
Wooster, OH 44691-1974

Mailing address

1120 Polaris Pkwy Ste 200
Columbus, OH 43240-4042
Phone (614) 880-9333

Other identifiers 1

IdentifierTypeStateIssuer
0232254MedicaidOH

Other names 1

  • Kristin Marie Taylor Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170911002956 OH Practitioner - Family Practice 2264705383 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1739 Cleveland Rd
Wooster, OH 44691-2203
Phone 3302622500102

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.012949OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kristin Wenger DO LLC CurrentSince Jun 13, 2022 Accepting new patients
Healthcare 2000 Community Clinic Inc CurrentSince Oct 4, 2024 Accepting new patients
Healthcare 2000 Community Clinic Inc CurrentSince Oct 4, 2024 Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Central Ohio Primary Care Physicians, Inc. Family Medicine CurrentSince Aug 1, 2017 Accepting new patients

Locations

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

1120 Polaris Pkwy
Ste 200
Columbus, OH 43240
Phone (614) 880-9333

570 Polaris Pkwy
Ste 250
Westerville, OH 43082
Phone (614) 459-0216

128 E Milltown Rd
Ste 105
Wooster, OH 44691
Phone (330) 345-8060

1739 Cleveland Rd
Wooster, OH 44691
Phone (330) 262-2500

1874 Cleveland Rd
Wooster, OH 44691
Phone (330) 262-2500

Interoperability endpoints

  • Direct secure messaging: kristinwenger@mfpi.allscriptsdirect.net

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 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": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660348800000",
    "number": "1730505793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 POLARIS PKWY STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432404042",
            "telephone_number": "614-880-9333",
            "fax_number": "614-880-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 WEDGEWOOD WAY",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911974",
            "telephone_number": "614-406-3037",
            "fax_number": "614-880-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENGER",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-13",
        "last_updated": "2022-08-13",
        "certification_date": "2022-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.012949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0232254",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "TAYLOR",
            "middle_name": "MARIE",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.