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

Kelly Wayt

Individual provider Family Medicine Physician · NPI 1609465616

Kelly Wayt is a Nurse Practitioner in Granville, Ohio. Qualified in 2020, 6 years ago. Practices with Rea Medical LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2021
Specialties on file
2

Practice location Address checks out

1965 Newark Granville Rd
Granville, OH 43023-9171
Phone: (740) 973-1394
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.0028110 (OH)
Family Medicine Physician Taxonomy 207Q00000X · Licence APRN.CNP.0028110 (OH)

Record details

NPI number1609465616
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 14, 2021
Last updated in NPPESOctober 14, 2024
Certification dateOctober 14, 2024
Mailing address160 Van Tassell Ave, Newark, OH 43055-3082

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Rea Medical Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Granville