Individual provider Active NPI

Wesley Morgan Hannebaum McComas, FNP

  • Nurse Practitioner
  • Springfield, OH
National Provider Identifier
1952888422
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.022835 Issued in OH
Practice address
2443 Troy Rd
Springfield, OH 45504-4233
Phone
(740) 566-4621
NPI assigned
Jul 26, 2018
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.022835 OH Primary
Family Nurse Practitioner 363LF0000X APRN.CNP022835 OH

Addresses

Primary practice location

2443 Troy Rd
Springfield, OH 45504-4233

Mailing address

2111 E State St
Athens, OH 45701-2138
Phone (740) 566-4621

Other practice location 1

30 Remick Blvd
Springboro, OH 45066-9168
Phone (937) 619-0222

Other practice location 2

3006 N County Road 25A Ste 200
Troy, OH 45373-1372
Phone (937) 339-8426

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
I20200317001018 OH Practitioner - Nurse Practitioner 0042648578 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakview DermatologyGroup PAC ID 1254408610, 31 clinicians

Practice addresses (Care Compare)

2443 Troy Rd
Springfield, OH 45504-4233
Phone (937) 505-6505

Merit-based Incentive Payment System (MIPS)

Final score
94.22 of 100Reported as group
Quality
90.79
Promoting interoperability
100
Improvement activities
40
Cost
89.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP022835OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oakview Dermatology CurrentSince Aug 31, 2021 Accepting new patients
Midwest Dermatology, Laser & Vein Clinic CurrentSince Jan 26, 2020 Accepting new patients
Pulmonary Associates LLC Current Accepting new patients
Oakview Dermatology CurrentSince Apr 9, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2111 E State St
Athens, OH 45701
Phone (740) 300-1746

5175 Morse Rd
Ste 100
Gahanna, OH 43230
Phone (614) 454-4808

2405 N Columbus St
Ste 100
Lancaster, OH 43130
Phone (614) 908-1339

30 Remick Blvd
Springboro, OH 45066
Phone (937) 619-0222

2443 Troy Rd
Springfield, OH 45504
Phone (937) 505-6505

3006 N County Road 25A
Ste 200
Troy, OH 45373
Phone (937) 335-2075

Interoperability endpoints

  • Direct secure messaging: wmccomas@oakviewderm.emadirect.md

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1952888422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 E STATE ST",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012138",
            "telephone_number": "740-566-4621",
            "fax_number": "740-566-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2443 TROY RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455044233",
            "telephone_number": "740-566-4621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Remick Blvd",
            "address_purpose": "LOCATION",
            "city": "Springboro",
            "state": "OH",
            "postal_code": "450669168",
            "country_code": "US",
            "telephone_number": "937-619-0222",
            "fax_number": "937-619-6248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3006 N County Road 25A Ste 200",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453731372",
            "country_code": "US",
            "telephone_number": "937-339-8426",
            "fax_number": "937-335-9790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOMAS",
        "first_name": "WESLEY",
        "middle_name": "MORGAN HANNEBAUM",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.022835",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP022835",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.