Individual provider Active NPI

Alyssa Rose Wetzel, NP-C

  • Family Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1831656891
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
023959 Issued in OH
Practice address
4160 Little York Rd Ste 10
Dayton, OH 45414-5803
Phone
(800) 824-9861
NPI assigned
Feb 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 023959 OH Primary

Addresses

Primary practice location

4160 Little York Rd Ste 10
Dayton, OH 45414-5803

Mailing address

2100 Emmanuel Way Ste E
Springfield, OH 45502-7218
Phone (937) 643-9299

Other practice location 1

300 3rd Ave
Sidney, OH 45365-1116
Phone (937) 710-9257

Other practice location 2

732 Sweitzer St
Greenville, OH 45331-1006
Phone (937) 316-8046

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address awetzel658310@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

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
I20190411001682 OH Practitioner - Nurse Practitioner 0749521102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

1103 Fairington Dr
Suite 100
Sidney, OH 45365-8130
Phone (937) 980-7400

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8646

3700 Southern Blvd
Kettering, OH 45429-1265

4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.8 of 100Reported as group
Quality
73.21
Promoting interoperability
100
Improvement activities
40
Cost
76.12

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023959OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Independent Medical Group Inc CurrentSince Dec 29, 2022 Accepting new patients

Locations

4160 Little York Rd
Ste 10
Dayton, OH 45414
Phone 9374159100335

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

3700 Southern Blvd
Ste 300
Kettering, OH 45429
Phone (937) 395-8002

1 Kettering Way
Ste 200
Piqua, OH 45356
Phone (937) 916-2700

1103 Fairington Dr
Ste 100
Sidney, OH 45365
Phone (937) 497-5561

2300 N Limestone St
Ste 120
Springfield, OH 45503
Phone (866) 224-9472

2100 Emmanuel Way
Ste E
Springfield, OH 45502
Phone (866) 224-9472

600 W Main St
Ste 330
Troy, OH 45373
Phone (937) 429-7350

Organizations & group practices 1

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 5

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": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1831656891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 EMMANUEL WAY STE E",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455027218",
            "telephone_number": "937-643-9299",
            "fax_number": "937-521-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 LITTLE YORK RD STE 10",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454145803",
            "telephone_number": "800-824-9861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Sidney",
            "state": "OH",
            "postal_code": "453651116",
            "country_code": "US",
            "telephone_number": "937-710-9257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "732 Sweitzer St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "OH",
            "postal_code": "453311006",
            "country_code": "US",
            "telephone_number": "937-316-8046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WETZEL",
        "first_name": "ALYSSA",
        "middle_name": "ROSE",
        "name_prefix": "Miss",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "023959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awetzel658310@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "4160 Little York Rd Ste 10",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454145803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "4160 Little York Rd Ste 10",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454145803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.