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

Polly S Vaughan, CRNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1063609287

Polly S Vaughan, CRNP is a Nurse Practitioner in Wilmington, Ohio. Qualified in 2007, 19 years ago. Accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
19
Licensed in
OH
In the registry since
2007
Specialties on file
3
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

140 Fairway Dr
Wilmington, OH 45177-8008
Phone: (937) 974-5591
Fax: (937) 730-0023
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN.CNP.09551 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN.CNP.09551 (OH)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence NP-09551 (OH)

Record details

NPI number1063609287
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedOctober 2, 2007
Last updated in NPPESMay 17, 2026
Certification dateMay 17, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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