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MS. KATHRYN ANN KHANDAKER M.S.N., R.N., C.N.P.
NPI 1417254764
Nurse Practitioner in Wauseon, OH

Active since February 23, 2011PECOS EnrolledAccepts Medicare Assignment
725 S SHOOP AVE STE G-03, WAUSEON, OH 43567(419) 337-7832(419) 337-7833 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 6, 2025, May 1, 2018 (2 updates tracked since 2018).

About Ms. Kathryn Ann Khandaker M.s.n., R.n., C.n.p. NPPES

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

MS. KATHRYN ANN KHANDAKER M.S.N., R.N., C.N.P. (NPI 1417254764) is an individual nurse practitioner in Wauseon, Ohio, licensed in Ohio (COA.12210-NP) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS, is affiliated with Fulton County Health Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1417254764
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. KATHRYN ANN KHANDAKERCredential: M.S.N., R.N., C.N.P.
Location Address725 S SHOOP AVE STE G-03Wauseon, OH 43567-1702
Mailing Address725 S Shoop Ave Ste G-03Wauseon, OH 43567-1702 · (419) 337-7832 · Fax (419) 337-7833
Phone(419) 337-7832
Fax(419) 337-7833
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 23, 2011
Last NPPES UpdateJune 6, 20252 updates tracked since enumeration
NPPES CertifiedJune 6, 2025
✔ NPI 1417254764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · COA.12210-NP
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
725 S SHOOP AVE STE G-03, Wauseon, OH 43567
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Other Identifiers 1

Medicaid3139160OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kathryn Ann Khandaker M.s.n., R.n., C.n.p. 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 ID749464436
PECOS Enrollment IDI20110404000750
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kathryn Khandaker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fchc Medical Care, LLC
Same address
Multi-Specialty
725 S SHOOP AVE
Wauseon, OH 43567
  • Reassigned Medicare billing, Ohio enrollment
  • 65 clinicians in this Medicare group
NPI 1598821175 (419) 335-2015
Promedica Central Physicians
32 mi
Family Medicine
100 MADISON AVE, MSC-S38805
Toledo, OH 43604
  • Reassigned Medicare billing, Michigan and Ohio enrollments
  • 109 clinicians in this Medicare group
NPI 1043270150 (567) 585-1964

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
92 services37 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
63 services23 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.
33 services17 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
30 services12 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
29 services18 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
22 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Fulton County Health Center

Critical Access Hospitals · Wauseon, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361333
Location725 South Shoop AvenueWauseon, OH 43567 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43567 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.

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 Kathryn Khandaker's NPI number?

The NPI number for Kathryn Khandaker is 1417254764. It was assigned to this individual provider in the NPPES registry on February 23, 2011.

Where is Kathryn Khandaker located?

Kathryn Khandaker practices at 725 S Shoop Ave Ste G-03, Wauseon, OH 43567. The listed phone number is (419) 337-7832.

What is Kathryn Khandaker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kathryn Khandaker enrolled in Medicare?

Yes. Kathryn Khandaker 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.

Which organizations bill Medicare for Kathryn Khandaker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Khandaker reassigns Medicare benefits to 2 organizations: Fchc Medical Care, LLC (Wauseon, OH) and Promedica Central Physicians (Toledo, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathryn Khandaker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathryn Khandaker accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Kathryn Khandaker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kathryn Khandaker affiliated with any hospitals?

According to CMS data, Kathryn Khandaker is affiliated with Fulton County Health Center.

When was this NPI record last updated?

The NPPES record for Kathryn Khandaker was last updated on June 6, 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.