Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588484927 Individual Practitioner Female Practitioner

Katelyn Michelle Wilson , NP

Nurse Practitioner - Gerontology • Kettering, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Katelyn Wilson, NP is a certified Nurse Practitioner - Gerontology practicing in Kettering, OH. With approximately 2 years of clinical experience since completing medical education in 2024, Katelyn Wilson delivers high-quality medical care to the local community at 3533 SOUTHERN BLVD STE 5650.

Katelyn Wilson is affiliated with Kettering Independent Medical Group Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3533 Southern Blvd Ste 5650

Kettering, OH 454291263

Telephone 9372943611
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Gerontology in Kettering, OH

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -6.3 yrs vs City Avg
City Avg: 8.3 Yrs
State Avg: 7.7 Yrs
Regional Practice Density
7 Specialists

Practicing in Kettering, OH (529 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilson (2 Years) 2 Yrs
Kettering Specialty Average (8.3 Years) 8.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-03-19
Nurse Practitioner - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

State License OH 0037888

Definition to come...

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License OH 459403

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Hospital & Practice Group Affiliations

Kettering Independent Medical Group Inc

3533 Southern Blvd, Kettering, OH 454291263

Phone: 9372943611

Secondary Practice Locations

70 Remick Blvd

Springboro, OH 450669168

Phone: 9378850701

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Scarlett Sarbaugh , AG-ACNP

Nurse Practitioner - Acute Care

NPI 1083918965

Adult-Gerontology Acute Care Nurse Practitioner

Daniel Straiton

Physician Assistant - Surgical

NPI 1104384577
Emily Fuller , PA-C

Physician Assistant

NPI 1194354506

Physician Assistant (Certified)

Dr. Romel Garcia-Montilla , MD

Internal Medicine - Critical Care Medicine

NPI 1275715310

Doctor of Medicine (M.D.)

Kenneth Gill

Perfusionist

NPI 1275772717
Lee Schwieterman , CNP

Nurse Practitioner - Gerontology

NPI 1275933574

Certified Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Business Mailing Address March 19, 2026

Registered at 3533 SOUTHERN BLVD STE 5650, KETTERING, OH 454291263 (Tel: 9372943611)

📍
Updated Practice Location October 02, 2025

Registered at 3533 SOUTHERN BLVD STE 5650, KETTERING, OH 454291263 (Tel: 9372943611)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2025

Nurse Practitioner (License #0037888 in OH)

📍
Updated Business Mailing Address November 12, 2024

Registered at 70 REMICK BLVD, SPRINGBORO, OH 450669168 (Tel: 9378850701)

NPI Profile Active October 11, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location October 11, 2024

Registered at 70 REMICK BLVD, SPRINGBORO, OH 450669168 (Tel: 9378850701)

📍
Updated Business Mailing Address October 11, 2024

Registered at 171 STRATHMOOR XING, DAYTON, OH 454291526 (Tel: 9376840463)

👤
Provider Name / Credentials Updated October 11, 2024

Recorded as KATELYN WILSON, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2024

Registered Nurse (License #459403 in OH)

🟢
Initial NPI Registration & Enumeration October 11, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588484927
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2024
Last Update: March 19, 2026
Sole Proprietor: No

Mailing Address

3533 Southern Blvd Ste 5650

Kettering, OH 454291263

Phone: 9372943611

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.