1. Home
  2. Directory
  3. Ohio
  4. Granville
  5. Nurse Practitioner
  6. NPI Profile

KELLY WAYT
NPI 1609465616
Nurse Practitioner in Granville, OH

Active since January 14, 2021PECOS EnrolledAccepts Medicare Assignment
1965 NEWARK GRANVILLE RD, GRANVILLE, OH 43023(740) 973-1394 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly Wayt NPPES

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

KELLY WAYT (NPI 1609465616) is an individual nurse practitioner in Granville, Ohio, licensed in Ohio (APRN.CNP.0028110) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1609465616
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLY WAYT
Location Address1965 NEWARK GRANVILLE RDGranville, OH 43023-9171
Mailing Address160 Van Tassell AveNewark, OH 43055-3082 · (740) 973-1394
Phone(740) 973-1394
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 14, 2021
Last NPPES UpdateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
✔ NPI 1609465616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · APRN.CNP.0028110
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License APRN.CNP.0028110 (OH)
1965 NEWARK GRANVILLE RD, Granville, OH 43023
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

Kelly Wayt 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 ID6709282304
PECOS Enrollment IDI20210907003452
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

3

Medicare enrollment records show Kelly Wayt reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rea Medical, LLC
0.4 mi
Family
1965 NEWARK GRANVILLE RD
Granville, OH 43023
  • Reassigned Medicare billing, Ohio enrollment
  • 2 clinicians in this Medicare group
NPI 1245028950 (740) 457-4583
Wound Care Consultants LLC
99 mi
Foot & Ankle Surgery
6789 RIDGE RD STE 305
Parma, OH 44129
  • Reassigned Medicare billing, Ohio enrollment
  • 56 clinicians in this Medicare group
NPI 1831495373 (323) 406-8325
Signify Health, LLC
937 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Ohio enrollment
  • 672 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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 4

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.

Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
355 services16 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.
223 services46 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
162 services42 patients
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342
A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43023 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.

Other Providers at the Same Location NPPES 6

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

LAURA KAY FREIDNER L.P.C.
Counselor (Professional)
1965 NEWARK GRANVILLE RD
GRANVILLE, OH 43023
Licking County (740) 334-1373
REA MEDICAL, LLC
Nurse Practitioner (Family)
1965 NEWARK GRANVILLE RD
GRANVILLE, OH 43023
Licking County (740) 457-4583
ORR HEALTH & CHIROPRACTIC CLINIC
Chiropractor
1965 NEWARK GRANVILLE RD
GRANVILLE, OH 43023
Licking County (740) 587-0061
ORR HEALTH & CHIROPRACTIC CLINC, INC
Chiropractor
1965 NEWARK GRANVILLE RD
GRANVILLE, OH 43023
Licking County (740) 587-0061
ORR HEALTH & CHIROPRACTIC CLINIC
Chiropractor
1965 NEWARK GRANVILLE RD
GRANVILLE, OH 43023
Licking County (740) 587-0061
REBEKAH ROBISON LMT
Massage Therapist
1965 NEWARK GRANVILLE RD
GRANVILLE, OH 43023
Licking County (740) 258-9069

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 Wayt's NPI number?

The NPI number for Kelly Wayt is 1609465616. It was assigned to this individual provider in the NPPES registry on January 14, 2021.

Where is Kelly Wayt located?

Kelly Wayt practices at 1965 Newark Granville Rd, Granville, OH 43023. The listed phone number is (740) 973-1394.

What is Kelly Wayt's specialty?

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

Is Kelly Wayt enrolled in Medicare?

Yes. Kelly Wayt 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 Kelly Wayt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Wayt reassigns Medicare benefits to 3 organizations: Rea Medical, LLC (Granville, OH), Wound Care Consultants LLC (Parma, OH) and Signify Health, LLC (Dallas, TX). 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 Kelly Wayt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Wayt accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and CareSource (Common Ground Healthcare) and 3 other insurers list Kelly Wayt 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.

When was this NPI record last updated?

The NPPES record for Kelly Wayt was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.