Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Marie Parks, NP-C

Individual provider Family Nurse Practitioner · NPI 1003462615

Kelly Marie Parks, NP-C is a Nurse Practitioner in Waterville, Ohio. Qualified in 2019, 7 years ago. Practices with The Little Clinic of Ohio LLC, a 219-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
7
Licensed in
OH
In the registry since
2019
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

8730 Waterville Swanton Rd
Waterville, OH 43566-9726
Phone: (419) 878-1049
Fax: (419) 878-1053
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.025199 (OH)

Record details

NPI number1003462615
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedAugust 11, 2019
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice The Little Clinic Of Ohio Llc — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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