Individual provider Active NPI

Kelley Lynn Van Atta, CNP

  • Acute Care Nurse Practitioner
  • Findlay, OH
National Provider Identifier
1942812193
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN.CNP.0027390 Issued in OH
Practice address
1900 S Main St
Findlay, OH 45840-1216
Phone
(419) 423-5221
Fax
(419) 423-5143
NPI assigned
Aug 19, 2020
Last updated
Aug 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN.CNP.0027390 OH Primary

Addresses

Primary practice location

1900 S Main St
Findlay, OH 45840-1216

Mailing address

1900 S Main St
Findlay, OH 45840-1214
Phone (419) 423-5221

Other names 1

  • Miss Kelley Lynn Salsbury Former name

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
I20200904001917 OH Practitioner - Nurse Practitioner 4183041148 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

1900 S Main St
Findlay, OH 45840-1214
Phone (419) 423-4500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.98 of 100Reported as group
Quality
55.52
Improvement activities
40
Cost
74.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0027390OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blanchard Valley Regional Health Center Current Accepting new patients
Blanchard Valley Regional Health Center CurrentSince Aug 24, 2020 Accepting new patients
Blanchard Valley Regional Health Center CurrentSince Aug 24, 2020 Accepting new patients

Locations

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1942812193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S MAIN ST",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458401214",
            "telephone_number": "419-423-5221",
            "fax_number": "419-423-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S MAIN ST",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458401216",
            "telephone_number": "419-423-5221",
            "fax_number": "419-423-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ATTA",
        "first_name": "KELLEY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.0027390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLEY",
            "last_name": "SALSBURY",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Findlay, OH

Sources for this page

Verify at the official NPI Registry.