MR. WILLIAM ROBERT JR. DEGENDT (NP-C) – Family Nurse Practitioner, NPI 1902328503
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for MR. WILLIAM ROBERT JR. DEGENDT (NP-C)
3033 BRICKWALL DR APT G
KETTERING, OH 454203857
Phone: (937) 516-3223
Type: Mailing
750 E LONG ST
COLUMBUS, OH 432031846
Phone: (614) 340-6700
Type: Location
4879 US Highway 68 S
West Liberty, OH 433579525
Phone: (937) 559-1411
Type: Location
4879 US HIGHWAY 68 S
WEST LIBERTY, OH 433579525
Phone: (937) 559-1411
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $377.
Total Amount is formed as General ($377) + Research ($0) + Ownership ($0) = $377.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ViiV Healthcare Company ($172).
Total Amount
$377
General + Research + Ownership
Payments
21
Total payment records
General Amount
$377
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ViiV Healthcare Company | $172 |
| Gilead Sciences, Inc. | $74 |
| Merck Sharp & Dohme LLC | $61 |
| Janssen Biotech, Inc. | $44 |
| Braeburn Inc. | $18 |
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: 2017-09-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170915001162 | I | Nurse Practitioner | OH | TBD |
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.
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 45420)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | FL | |
| Clinical Social Worker | OH | |
| Addiction Medicine, Pain Management | OH | |
| N E U R O L O G Y | OH |
Reviews
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