Individual provider

Polly Vaughan, CRNP

Psychiatric/Mental Health Nurse Practitioner Family Nurse Practitioner Pediatric Nurse Practitioner Medicare enrolled

Polly Vaughan, CRNP is a Psychiatric/Mental Health Nurse Practitioner in Wilmington, OH, registered under NPI 1063609287. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 140 FAIRWAY DR, Wilmington, OH 45177. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

140 FAIRWAY DR, Wilmington, OH 45177 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
APRN.CNP.09551 OH Psychiatric/Mental Health Nurse… primary
APRN.CNP.09551 OH Family Nurse Practitioner
NP-09551 OH Pediatric Nurse Practitioner

This provider holds licence APRN.CNP.09551 issued in OH. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
3375625320

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Psychiatric/Mental Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0808X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health APRN.CNP.09551 OH primary
363LF0000X Family Nurse Practitioner Family APRN.CNP.09551 OH
363LP0200X Pediatric Nurse Practitioner Pediatrics NP-09551 OH

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1063609287 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 2, 2007
Last updatedMay 17, 2026
StatusActive
Sole proprietorNo
CredentialCRNP
Practice address 140 FAIRWAY DR
Wilmington, OH 45177
(937) 974-5591
Fax (937) 730-0023
Mailing address 6100 GURNEYVILLE RD
Wilmington, OH 45177
This record was updated on May 17, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1063609287 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 6 0 9 2 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 3 0 9 2 7

Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063609287?
NPI 1063609287 is the National Provider Identifier assigned to Polly Vaughan, CRNP in Wilmington, OH. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Psychiatric/Mental Health cover?
Definition to come...
How do I contact Polly Vaughan, CRNP?
The phone number on file with NPPES is (937) 974-5591, last updated May 17, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Polly Vaughan, CRNP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1063609287 a valid number?
Yes. 1063609287 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.