Active NPI
William Scott Collins
- Family Nurse Practitioner
- West Carrollton, OH
National Provider Identifier
1952940991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.026005
- Practice address
- 1111 Redbluff Dr
West Carrollton, OH 45449-3151 - Phone
- (937) 867-5123
- NPI assigned
- Dec 21, 2019
- Last updated
- Dec 21, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.026005 | OH | Primary |
Addresses
Primary practice location
1111 Redbluff Dr
West Carrollton, OH 45449-3151
Mailing address
1111 Redbluff Dr
West Carrollton, OH 45449-3151
Phone (937) 867-5123
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.78 of 100
- Quality
- 71.59
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 84.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.026005 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidney Care Specialists, LLC | Current | Accepting new patients | |
| Morrison and Ahmad, MD's, Inc. | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
1911 N Fairfield Rd
Ste 110
Beavercreek, OH 45432
Phone (937) 376-2571
1362 E Stroop Rd
Kettering, OH 45429
Phone (937) 376-2571
Interoperability endpoints
- william.collins.1@28492.direct.athenahealth.com
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.
-
- Nephrology Physician
- Kettering, OH
- NPI 1144555939
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Nephrology Physician
- Xenia, OH
- NPI 1275754301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576886400000",
"number": "1952940991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 REDBLUFF DR",
"city": "WEST CARROLLTON",
"state": "OH",
"postal_code": "454493151",
"telephone_number": "937-867-5123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 REDBLUFF DR",
"city": "WEST CARROLLTON",
"state": "OH",
"postal_code": "454493151",
"telephone_number": "937-867-5123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "WILLIAM",
"middle_name": "SCOTT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-21",
"last_updated": "2019-12-21",
"certification_date": "2019-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.026005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Carrollton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.