Individual provider Active NPI

Kelly Lynn Wycinski, CNP

  • Women's Health Nurse Practitioner
  • Zanesville, OH
National Provider Identifier
1780669259
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN.CNP.06287 Issued in OH
Practice address
975 Bethesda Dr
Suite 1
Zanesville, OH 43701-7500
Phone
(740) 454-6808
Fax
(740) 454-2236
NPI assigned
Dec 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APRN.CNP.06287 OH Primary

Addresses

Primary practice location

975 Bethesda Dr
Suite 1
Zanesville, OH 43701-7500

Mailing address

975 Bethesda Dr Ste 1
Zanesville, OH 43701-7500
Phone (740) 454-6808

Other identifiers 1

IdentifierTypeStateIssuer
2366514MedicaidOH

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
I20040928000348 OH Practitioner - Nurse Practitioner 2163491036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Medical Group, LLCGroup PAC ID 7719040385, 265 clinicians

Practice addresses (Care Compare)

945 Bethesda Dr
Zanesville, OH 43701-1880

975 Bethesda Dr
Suite 1
Zanesville, OH 43701-7500
Phone (740) 454-6808

Hospital & facility affiliations

  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Group, LLC CurrentSince Dec 15, 2024 Accepting new patients
Genesis Medical Group LLC CurrentSince Dec 15, 2024 Accepting new patients
Muskingum Valley Health Centers Past Accepting new patients
Muskingum Valley Health Centers Past Accepting new patients
Fairfield Department of Health PastSince Jan 1, 1990 Accepting new patients

Locations

23599 Airport Rd
Ste B
Coshocton, OH 43812
Phone (740) 722-9555

859 N Main St
Malta, OH 43758
Phone (740) 962-6111

1210 Ashland Ave
Zanesville, OH 43701
Phone (740) 452-1905

716 Adair Ave
Zanesville, OH 43701
Phone (740) 454-5239

860 Bethesda Dr
Zanesville, OH 43701
Phone (740) 452-1905

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

975 Bethesda Dr
Ste 1
Zanesville, OH 43701
Phone (740) 454-6808

975 Bethesda Dr
Bldg 7
Zanesville, OH 43701
Phone (740) 452-4539

1246 Ashland Ave
Ste 205
Zanesville, OH 43701
Phone (740) 454-5271

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 4

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": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1780669259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 BETHESDA DR STE 1",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437017500",
            "telephone_number": "740-454-6808",
            "fax_number": "740-454-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 BETHESDA DR",
            "address_2": "SUITE 1",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437017500",
            "telephone_number": "740-454-6808",
            "fax_number": "740-454-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYCINSKI",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "APRN.CNP.06287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2366514",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.