KELLY MARIE PARKS NP-C
NPI 1003462615
Nurse Practitioner - Family in Waterville, OH

Active since August 11, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
8730 WATERVILLE SWANTON RD, WATERVILLE, OH 43566(419) 878-1049(419) 878-1053 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 19, 2025, Sep 12, 2019, Aug 11, 2019 (3 updates tracked since 2019).

About Kelly Marie Parks Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY MARIE PARKS NP-C (NPI 1003462615) is an individual family provider in Waterville, Ohio, licensed in Ohio (APRN.CNP.025199) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1003462615
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY MARIE PARKSCredential: NP-C
Location Address8730 WATERVILLE SWANTON RDWaterville, OH 43566-9726
Mailing Address8730 Waterville Swanton RdWaterville, OH 43566-9726 · (419) 878-1049 · Fax (419) 878-1053
Fax(419) 878-1053
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 11, 2019
Last NPPES UpdateMarch 19, 20253 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
NPI 1003462615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · APRN.CNP.025199
8730 WATERVILLE SWANTON RD, Waterville, OH 43566

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelly Marie Parks Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648501932
PECOS Enrollment IDI20191017002679
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
133 services133 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
123 services123 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
49 services44 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
19 services18 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43566 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
8730 WATERVILLE SWANTON RD
WATERVILLE, OH 43566
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
8730 WATERVILLE SWANTON RD
WATERVILLE, OH 43566
Pharmacist
8730 WATERVILLE SWANTON RD
WATERVILLE, OH 43566
Pharmacist
8730 WATERVILLE SWANTON RD
WATERVILLE, OH 43566
Pharmacy (Community/Retail Pharmacy)
8730 WATERVILLE SWANTON RD
WATERVILLE, OH 43566
Nurse Practitioner (Family)
8730 WATERVILLE SWANTON RD
WATERVILLE, OH 43566
Nurse Practitioner (Family)
8730 WATERVILLE SWANTON RD
WATERVILLE, OH 43566
Pharmacist
8730 WATERVILLE SWANTON RD
WATERVILLE, OH 43566

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Parks's NPI number?

The NPI number for Kelly Parks is 1003462615. It was assigned to this individual provider in the NPPES registry on August 11, 2019.

Where is Kelly Parks located?

Kelly Parks practices at 8730 Waterville Swanton Rd, Waterville, OH 43566. The listed phone number is (419) 878-1049.

What is Kelly Parks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Parks enrolled in Medicare?

Yes. Kelly Parks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kelly Parks was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.