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BENJAMIN MICHAEL WERLING CNP
NPI 1578057485
Nurse Practitioner - Family in Celina, OH

Active since June 15, 2018PECOS EnrolledAccepts Medicare Assignment
82.27/100
CMS Quality Rating
909 E WAYNE ST STE 124, CELINA, OH 45822(419) 586-1863(419) 586-3045 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2025, Jun 15, 2018 (2 updates tracked since 2018).

About Benjamin Michael Werling Cnp NPPES

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

BENJAMIN MICHAEL WERLING CNP (NPI 1578057485) is an individual family provider in Celina, Ohio, licensed in Ohio (APRN.CNP.022802) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Grand Lake Health System, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1578057485
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBENJAMIN MICHAEL WERLINGCredential: CNP
Location Address909 E WAYNE ST STE 124Celina, OH 45822-3304
Mailing Address830 W Main StColdwater, OH 45828-1626 · (567) 890-7143 · Fax (419) 586-0812
Phone(419) 586-1863
Fax(419) 586-3045
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 15, 2018
Last NPPES UpdateOctober 9, 20252 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1578057485 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.022802
909 E WAYNE ST STE 124, Celina, OH 45822
Open in Google Maps ↗

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

Benjamin Michael Werling Cnp 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 ID7416203419
PECOS Enrollment IDI20180705001710
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 Benjamin Werling reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercer County Joint Township Community Hospital
7.2 mi
General Acute Care Hospital
800 W. MAIN ST.
Coldwater, OH 45828
  • Reassigned Medicare billing, Ohio enrollment
  • 115 clinicians in this Medicare group
NPI 1497784144 (419) 678-2341
M E D F Physicians Corporation
7.2 mi
Family Medicine
830 W MAIN ST
Coldwater, OH 45828
  • Reassigned Medicare billing, Ohio enrollment
  • 48 clinicians in this Medicare group
NPI 1417992710 (567) 890-7185

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 10

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
273 services129 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.
107 services85 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
25 services25 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
20 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Grand Lake Health System

Acute Care Hospitals · Saint Marys, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360032
Location200 Saint Clair StreetSaint Marys, OH 45885 · Auglaize County
Emergency services Birthing friendly

Mercer County Joint Township Community Hospital

Acute Care Hospitals · Coldwater, OH
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number360058
Location800 West Main StreetColdwater, OH 45828 · Mercer County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45822 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.

82.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.24
Promoting Interoperability100
Improvement Activities40
Cost67.66

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers24 claims54 services$5.04 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers12 claims13 services$64.76 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers17 claims17 services$21.28 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers20 claims20 services$119.17 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers11 claims510 services$0.10 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
2 suppliers14 claims600 services$0.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MRS. TERESA ROSE WAITE CPNP
Nurse Practitioner (Pediatrics)
909 E WAYNE ST STE 124
CELINA, OH 45822
Mercer County (419) 586-7940

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 Benjamin Werling's NPI number?

The NPI number for Benjamin Werling is 1578057485. It was assigned to this individual provider in the NPPES registry on June 15, 2018.

Where is Benjamin Werling located?

Benjamin Werling practices at 909 E Wayne St Ste 124, Celina, OH 45822. The listed phone number is (419) 586-1863.

What is Benjamin Werling's specialty?

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

Is Benjamin Werling enrolled in Medicare?

Yes. Benjamin Werling 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 Benjamin Werling's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Werling reassigns Medicare benefits to 2 organizations: Mercer County Joint Township Community Hospital (Coldwater, OH) and M E D F Physicians Corporation (Coldwater, 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 Benjamin Werling's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Werling 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 Benjamin Werling 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 Benjamin Werling affiliated with any hospitals?

According to CMS data, Benjamin Werling is affiliated with Grand Lake Health System and Mercer County Joint Township Community Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Werling was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.