Individual provider Active NPI

Kelsey L Williams, NP

  • Family Nurse Practitioner
  • Bryan, OH
National Provider Identifier
1972126217
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0027753 Issued in OH
Practice address
228 S Main St
Bryan, OH 43506-1755
Phone
(567) 239-4562
NPI assigned
May 21, 2020
Last updated
Feb 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71010033A IN
Family Nurse Practitioner 363LF0000X APRN.CNP.0027753 OH Primary

Addresses

Primary practice location

228 S Main St
Bryan, OH 43506-1755

Mailing address

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

Other practice location 1

7900 W Jefferson Blvd Ste 201
Fort Wayne, IN 46804-4128
Phone (260) 432-2297

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kelsey.williams@lutheranhealthnetwork.cernerdirect.com

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
I20220428000149 OH Practitioner - Nurse Practitioner 7416379052 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
Health Partners of Western OhioGroup PAC ID 9436139987, 56 clinicians

Practice addresses (Care Compare)

1018 Ralston Ave
Defiance, OH 43512-5312
Phone (419) 567-2138

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71010033AINMDFamily Nurse Practitioner
APRN.CNP.0027753OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Partners of Western Ohio CurrentSince May 2, 2022 Accepting new patients
Health Partners of Western Ohio Current Accepting new patients
Health Partners of Western Ohio CurrentSince May 2, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Health Partners of Western Ohio Past Accepting new patients
Health Partners of Western Ohio Past Accepting new patients

Locations

228 S Main St
Bryan, OH 43506
Phone (567) 239-4562

1018 Ralston Ave
Defiance, OH 43512
Phone (419) 567-2138

211 Biede Ave
Defiance, OH 43512
Phone (419) 782-8856

111 W Espy St
Kenton, OH 43326
Phone (419) 679-5994

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

1550 N Main St
Lima, OH 45801
Phone (419) 516-0327

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

222 McTigue Dr
Toledo, OH 43615
Phone (419) 442-7702

301 Morrison Dr
Toledo, OH 43605
Phone (419) 671-7000

701 E Central Ave
Toledo, OH 43608
Phone (419) 671-6000

Interoperability endpoints

  • Direct secure messaging: kelsey.williams@hpwo.directbygreenway.com
  • Direct secure messaging: kelsey.williams@lutheranhealthnetwork.cernerdirect.com

Organizations & group practices 6

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": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1972126217",
    "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": "228 S MAIN ST",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435061755",
            "telephone_number": "567-239-4562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7900 W Jefferson Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468044128",
            "country_code": "US",
            "telephone_number": "260-432-2297",
            "fax_number": "260-969-7266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KELSEY",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71010033A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0027753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelsey.williams@lutheranhealthnetwork.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "7900 W Jefferson Blvd Ste 201",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468044128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bryan, OH

Sources for this page

Verify at the official NPI Registry.