KATHERINE KYLE WEALS (PA-C) – Physician Assistant, NPI 1003320631

KATHERINE KYLE WEALS (PA-C) is a healthcare provider. based in Stow, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 50.005357RX (OH). The NPI Number for KATHERINE KYLE WEALS (PA-C) is 1003320631

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE KYLE WEALS (PA-C)
NPI
1003320631
Phone
(330) 931-7607
Address
4486 KNOB HL
Enumeration Date
17 November 2017
Last Update Date
8 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6143663687
Graduation Year
2017 (9 years ago)
PAC ID
1052670080
Group Practice PAC ID
9830114529
Professional Enrollment ID
I20180118002456
Address ID
OH432101240CO460XXAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

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Provider Addresses for KATHERINE KYLE WEALS (PA-C)

  • 4486 KNOB HL

    STOW, OH 442242197

    Phone: (330) 931-7607

    Type: Mailing

  • James Cancer Hospital and Solove Research Institute, 460, West Tenth Avenue, University District District 4, Columbus, Franklin, Ohio, 43210, United States

    COLUMBUS, OH 432101240

    Phone: (614) 293-5066

    Type: Location

  • 700 ACKERMAN RD STE 2120

    COLUMBUS, OH 432021559

    Phone: (614) 293-8074

    Fax: (614) 293-3193

    Type: Mailing

  • 460 W 10TH AVE FL 5

    COLUMBUS, OH 432101240

    Phone: (614) 293-8074

    Fax: (614) 293-3193

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-01-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180118002456IPhysician AssistantOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44224)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830114529View full group profile
NameSpecialtyState
Qualified AudiologistOH
Nurse PractitionerOH
O T O L A R Y N G O L O G YOH
-TX
Physician AssistantOH
O T O L A R Y N G O L O G YOH
-OH
Qualified AudiologistOH
-OH
Qualified AudiologistOH

Reviews

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Frequently asked questions

What is KATHERINE KYLE WEALS (PA-C)'s NPI number?
KATHERINE KYLE WEALS (PA-C)'s NPI is 1003320631 — the number used across U.S. healthcare to identify this provider.
Would KATHERINE KYLE WEALS (PA-C) appear as active to a payer?
You can treat KATHERINE KYLE WEALS (PA-C) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for KATHERINE KYLE WEALS (PA-C)?
At a glance, KATHERINE KYLE WEALS (PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KATHERINE KYLE WEALS (PA-C)?
Travel planning: use Stow, Ohio as the reference point for KATHERINE KYLE WEALS (PA-C), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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