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Michael Kelley

Licensed Practical Nurse β€’ Cincinnati, OH

Active NPI 1518358712 Individual Practitioner Male Practitioner
Practice location in NPPES

830 Ezzard Charles Dr
Cincinnati, OH 452142525

Call 5133816672 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

830 Ezzard Charles Dr

Cincinnati, OH 452142525

Telephone 5133816672
Organization at the Same NPPES Address or Phone
Center For Addiction Treatment Facility NPI 1215994249

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Cincinnati and Ohio

923 active clinicians are listed under Licensed Practical Nurse with a practice address in Cincinnati, OH (12,649 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Cincinnati

0% of these 923 clinicians have the CMS telehealth indicator.

0% of these 923 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-08-09
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES OH 118237

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Aba Anthony

Nurse Practitioner - Psychiatric/Mental Health

NPI 1366064727
Ama Bonsu , APRN

Nurse Practitioner - Family

NPI 1194703124

Advanced Practice Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location August 09, 2023

Registered at 830 EZZARD CHARLES DR, CINCINNATI, OH 452142525 (Tel: 5133816672)

πŸ“
Updated Business Mailing Address August 09, 2023

Registered at 7618 WHITEHAVEN CT, WEST CHESTER, OH 450692424 (Tel: 5132588972)

βœ…
NPI Profile Active March 22, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 22, 2016

Registered at 5837 HAMILTON AVE, CINCINNATI, OH 452242923 (Tel: 5135417577)

πŸ“
Business Mailing Address (Initial Record) March 22, 2016

Registered at 904 HAYES AVE, APT# 2, HAMILTON, OH 450153014 (Tel: 5132588972)

πŸ‘€
Provider Name / Credentials (Initial Record) March 22, 2016

Recorded as MICHAEL KELLEY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2016

Licensed Practical Nurse (license number reported to NPPES: OH 118237)

🟒
Initial NPI Registration & Enumeration February 10, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1518358712
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 10, 2015
Last Update: August 09, 2023
Sole Proprietor: Yes

Mailing Address

7618 Whitehaven Ct

West Chester, OH 450692424

Phone: 5132588972

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.