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Active NPI 1417254764 Individual Practitioner Female Practitioner

Kathryn Ann Khandaker , MSN, RN, CNP

Nurse Practitioner • Wauseon, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kathryn Khandaker, MSN, RN, CNP is a certified Nurse Practitioner practicing in Wauseon, OH. With approximately 16 years of clinical experience since completing medical education in 2010, Kathryn Khandaker delivers high-quality medical care to the local community at 725 S SHOOP AVE STE G-03.

Kathryn Khandaker is affiliated with Fchc Medical Care, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less, removal of tissue from wound, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

725 S Shoop Ave Ste G-03

Wauseon, OH 435671702

Telephone 4193377832
Fax 4193377833

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Wauseon, OH

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs -2.7 yrs vs City Avg
City Avg: 18.7 Yrs
State Avg: 9.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Wauseon, OH (4294 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
79.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Khandaker (16 Years) 16 Yrs
Wauseon Specialty Average (18.7 Years) 18.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
92 37 $235.16 $70.68
11042 Removal of skin and tissue, 20.0 sq cm or less
63 23 $441.19 $89.29
99213 Established patient office or other outpatient visit, typically 15 minutes
33 17 $204.09 $53.28
97597 Removal of tissue from wound, 20.0 sq cm or less
30 12 $228.03 $28.75
11042 Removal of skin and tissue, 20.0 sq cm or less
29 18 $460.69 $48.05
97597 Removal of tissue from wound, 20.0 sq cm or less
22 16 $228.00 $65.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
20 15 $92.45 $35.14

Medical Specialties & State Licenses

CMS Verified: 2025-06-06
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OH COA.12210-NP

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3139160 (OH)

Hospital & Practice Group Affiliations

Fchc Medical Care, Llc

725 S Shoop Ave, Wauseon, OH 435671701

Phone: 4193352015

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location June 06, 2025

Registered at 725 S SHOOP AVE STE G-03, WAUSEON, OH 435671702 (Tel: 4193377832)

📍
Updated Business Mailing Address June 06, 2025

Registered at 725 S SHOOP AVE STE G-03, WAUSEON, OH 435671702 (Tel: 4193377832)

📍
Updated Practice Location May 01, 2018

Registered at 3000 ARLINGTON AVE, TOLEDO, OH 436142595 (Tel: 4193833588)

📍
Updated Business Mailing Address May 01, 2018

Registered at 3355 GLENDALE AVE FL 3, TOLEDO, OH 436142426 (Tel: 4193833588)

NPI Profile Active February 23, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location February 23, 2011

Registered at 433 W HIGH ST, BRYAN, OH 435061690 (Tel: 4196331131)

📍
Updated Business Mailing Address February 23, 2011

Registered at 433 W HIGH ST, BRYAN, OH 435061690 (Tel: 4196331131)

👤
Provider Name / Credentials Updated February 23, 2011

Recorded as KATHRYN KHANDAKER, M.S.N., R.N., C.N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2011

Nurse Practitioner (License #COA.12210-NP in OH)

🟢
Initial NPI Registration & Enumeration February 23, 2011

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: 1417254764
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 23, 2011
Last Update: June 06, 2025
Sole Proprietor: No

Mailing Address

725 S Shoop Ave Ste G-03

Wauseon, OH 435671702

Phone: 4193377832

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.