Individual provider Active NPI

Colleen M Updyke, FNP

  • Family Nurse Practitioner
  • New Carlisle, OH
National Provider Identifier
1932835014
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0031551 Issued in OH
Practice address
106 N Main St
New Carlisle, OH 45344-1835
Phone
(937) 667-1122
Fax
(419) 225-8878
NPI assigned
Jul 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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.0031551 OH Primary

Addresses

Primary practice location

106 N Main St
New Carlisle, OH 45344-1835

Mailing address

329 N West St
Lima, OH 45801-4331
Phone (419) 221-3072

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
I20220921003883 OH Practitioner - Nurse Practitioner 0840675153 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wright State University Boonshoft School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health Partners of Western OhioGroup PAC ID 9436139987, 56 clinicians
Zeidan Diabetes and Endocrinology LLCGroup PAC ID 7517489768, 2 clinicians

Practice addresses (Care Compare)

106 N Main St
New Carlisle, OH 45344-1835
Phone (937) 667-1122

5250 Far Hills Ave
Suite 150
Dayton, OH 45429-2389
Phone (614) 832-2688

Hospital & facility affiliations

  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133

Merit-based Incentive Payment System (MIPS)

Final score
86.78 of 100Reported as group
Quality
71.59
Promoting interoperability
100
Improvement activities
40
Cost
84.34

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as group
Quality
83.64
Promoting interoperability
100
Improvement activities
40
Cost
73.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0031551OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Partners of Western Ohio CurrentSince Nov 4, 2025 Accepting new patients
Health Partners of Western Ohio CurrentSince Nov 4, 2025 Accepting new patients
Zeidan Diabetes & Endocrinology LLC CurrentSince Jan 4, 2026 Accepting new patients

Locations

5250 Far Hills Ave
Ste 150
Kettering, OH 45429
Phone (614) 832-2688

329 N West St
Lima, OH 45801
Phone (419) 229-6007

1 Spartan Way
Lima, OH 45801
Phone (419) 222-3546

106 N Main St
New Carlisle, OH 45344
Phone (937) 667-1122

Organizations & group practices 3

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 2

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": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1932835014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 N WEST ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014331",
            "telephone_number": "419-221-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N MAIN ST",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453441835",
            "telephone_number": "937-667-1122",
            "fax_number": "419-225-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPDYKE",
        "first_name": "COLLEEN",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0031551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Carlisle, OH

Sources for this page

Verify at the official NPI Registry.