Dynamic Telehealth LLC
NPI 1174305965 · Psychiatric/Mental Health Nurse Practitioner · Fairfield, OH
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dynamic Telehealth LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Fairfield, OH (NPI 1174305965).
Provider details
- NPI number
- 1174305965
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Cheryl Wilkerson, President(513) 302-2820
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-10-17
- Last updated
- 2026-01-09
- Certified
- 2026-01-09
Frequently asked questions
- What is Dynamic Telehealth LLC's NPI number?
- Dynamic Telehealth LLC's National Provider Identifier (NPI) is 1174305965, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dynamic Telehealth LLC?
- Dynamic Telehealth LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Dynamic Telehealth LLC located?
- Dynamic Telehealth LLC's practice location on file with NPPES is 31 Stonegate Ct, Fairfield, OH 45014.
- What is Dynamic Telehealth LLC's phone number?
- The practice phone number listed in the NPPES registry for Dynamic Telehealth LLC is (513) 302-2820.
- Does Dynamic Telehealth LLC accept Medicare?
- Dynamic Telehealth LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dynamic Telehealth LLC?
- The authorized official listed on Dynamic Telehealth LLC's NPPES record is Cheryl Wilkerson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dynamic Telehealth LLC's NPI active?
- Yes — Dynamic Telehealth LLC's NPI (1174305965) is active in the NPPES registry as of the last update on 2026-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.