Individual provider Active NPI

Kimberly Ann Moritz, CNP

  • Family Nurse Practitioner
  • Mount Gilead, OH
National Provider Identifier
1891458485
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0028414 Issued in OH
Practice address
6519 US Highway 42
Mount Gilead, OH 43338-9632
Phone
(567) 876-6350
Fax
(614) 533-1443
NPI assigned
Oct 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 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 APRN.CNP.0028414 OH Primary

Addresses

Primary practice location

6519 US Highway 42
Mount Gilead, OH 43338-9632

Mailing address

PO Box 7527
Dublin, OH 43017-0727

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmoritz314185@direct.ohiohealth.com OhioHealth Physician Group, Inc.

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
I20220218000326 OH Practitioner - Nurse Practitioner 2860886777 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

6519 US Hwy 42
Mount Gilead, OH 43338-9632
Phone (567) 876-6350

Hospital & facility affiliations

  • Ohiohealth Morrow County Hospital Hospital, Mount Gilead, OH, CCN 361313
  • Marion General Hospital Hospital, Marion, OH, CCN 360011
  • Ohiohealth Mansfield Hospital Hospital, Mansfield, OH, CCN 360118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0028414OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Aug 1, 2022 Accepting new patients
Samaritan Regional Health System CurrentSince Nov 1, 2021 Accepting new patients
Samaritan Regional Health System Current Accepting new patients
Ohiohealth Corporation CurrentSince Aug 1, 2022 Accepting new patients

Locations

1025 Center St
Ashland, OH 44805
Phone (419) 207-2370

663 E Main St
Ashland, OH 44805
Phone (419) 207-2502

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

6519 US Highway 42
Mount Gilead, OH 43338
Phone (419) 362-6003

Interoperability endpoints

  • Direct secure messaging: kmoritz28030@ehrdirect.uhhospitals.org

Organizations & group practices 4

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": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1891458485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6519 US HIGHWAY 42",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433389632",
            "telephone_number": "567-876-6350",
            "fax_number": "614-533-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORITZ",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0028414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmoritz314185@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "address_1": "6519 US Highway 42",
            "city": "Mount Gilead",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433389632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Gilead, OH

Sources for this page

Verify at the official NPI Registry.