Individual provider Active NPI

William Scott Collins

  • Family Nurse Practitioner
  • West Carrollton, OH
National Provider Identifier
1952940991
Registry record updated Dec 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.026005 Issued in OH
Practice address
1111 Redbluff Dr
West Carrollton, OH 45449-3151
Phone
(937) 867-5123
NPI assigned
Dec 21, 2019
Last updated
Dec 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2019

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.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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200701002317 OH Practitioner - Nurse Practitioner 3476976861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.026005OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care Specialists, LLC CurrentSince Sep 30, 2024 Accepting new patients
Morrison and Ahmad, MD's, Inc. PastSince Sep 30, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.