Individual provider Active NPI

Kathleen Weldy, FNP-C

  • Nurse Practitioner
  • London, OH
National Provider Identifier
1902592801
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0033653 Issued in OH
Practice address
54 W High St Ste C
London, OH 43140-1093
Phone
(740) 837-4334
Fax
(740) 422-0777
NPI assigned
Apr 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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 APRN.CNP.0033653 OH Primary

Addresses

Primary practice location

54 W High St Ste C
London, OH 43140-1093

Mailing address

5775 Perimeter Dr Ste 200
Dublin, OH 43017-3224
Phone (614) 845-0418

Other practice location 1

5775 Perimeter Dr Ste 200
Dublin, OH 43017-3224
Phone (614) 845-0418

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kweldy@ohioderm.emadirect.md Health Information Exchange (HIE)

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
I20230710001681 OH Practitioner - Nurse Practitioner 3779942685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohioderm Holding IncGroup PAC ID 3971950825, 6 clinicians

Practice addresses (Care Compare)

2200 Timber TRL
Bellefontaine, OH 43311-9039
Phone (937) 595-0100

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0033653OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohioderm Holding Inc. CurrentSince Aug 11, 2024 Accepting new patients
Ohioderm Holding Inc. CurrentSince Sep 11, 2023 Accepting new patients

Locations

2200 Timber Trl
Bellefontaine, OH 43311
Phone (937) 593-0822

5775 Perimeter Dr
Ste 200
Dublin, OH 43017
Phone (614) 845-0418

54 W High St
Ste C
London, OH 43140
Phone (740) 837-4334

Interoperability endpoints

  • Direct secure messaging: kweldy@ohioderm.emadirect.md

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1902592801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 PERIMETER DR STE 200",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173224",
            "telephone_number": "614-845-0418",
            "fax_number": "614-389-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 W HIGH ST STE C",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401093",
            "telephone_number": "740-837-4334",
            "fax_number": "740-422-0777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5775 Perimeter Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430173224",
            "country_code": "US",
            "telephone_number": "614-845-0418",
            "fax_number": "614-389-3841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELDY",
        "first_name": "KATHLEEN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0033653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kweldy@ohioderm.emadirect.md",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "54 W High St Ste C",
            "city": "London",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431401093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in London, OH

Sources for this page

Verify at the official NPI Registry.