Individual provider Active NPI

Holli N Kroger, FNP

  • Family Nurse Practitioner
  • Beavercreek, OH
National Provider Identifier
1003685694
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0035235 Issued in OH
Practice address
1425 N Fairfield Rd Ste 130
Beavercreek, OH 45432-2674
Phone
(937) 320-1950
Fax
(937) 320-9332
NPI assigned
Dec 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0035235 OH Primary

Addresses

Primary practice location

1425 N Fairfield Rd Ste 130
Beavercreek, OH 45432-2674

Mailing address

PO Box 933432
Cleveland, OH 44193-0039
Phone (937) 641-5072

Other practice location 1

5501 Far Hills Ave Ste 200
Dayton, OH 45429-2203
Phone (937) 436-2866

Other practice location 2

9000 N Main St Ste 332
Englewood, OH 45415-1185
Phone (937) 832-7337

Other identifiers 1

IdentifierTypeStateIssuer
0038328MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240228004492 OH Practitioner - Nurse Practitioner 3274978309 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0035235OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Children'S Specialty Physicians, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Dayton Children'S Hospital CurrentSince Mar 1, 2024 Accepting new patients
Mend Health LLC Family CurrentSince Oct 1, 2024 Accepting new patients
Dayton Children'S Hospital CurrentSince Mar 1, 2024 Accepting new patients
Dayton Children'S Specialty Physicians, Inc. CurrentSince Mar 1, 2024 Accepting new patients

Locations

1425 N Fairfield Rd
Ste 130
Beavercreek, OH 45432
Phone (937) 320-1950

3301 Dayton Xenia Rd
Ste 200
Beavercreek, OH 45432
Phone (937) 641-5098

6044 Wilmington Pike
Dayton, OH 45459
Phone (937) 641-3270

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

5501 Far Hills Ave
Ste 200
Dayton, OH 45429
Phone (937) 436-2866

9000 N Main St
Ste 332
Englewood, OH 45415
Phone (937) 832-7337

8501 Old Troy Pike
Huber Heights, OH 45424
Phone (937) 233-1095

5450 Far Hills Ave
Ste 110
Kettering, OH 45429
Phone (937) 299-9060

1050 Forrer Blvd
#250
Kettering, OH 45420
Phone (937) 894-1220

967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330

8809 Wilkens Blvd
Mason, OH 45040
Phone (513) 701-6907

3333 W Tech Rd
Miamisburg, OH 45342
Phone (937) 641-3400

662 N Main St
Springboro, OH 45066
Phone (937) 641-5066

7787 Cox Ln
West Chester, OH 45069
Phone (513) 644-8081

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1003685694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933432",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930039",
            "telephone_number": "937-641-5072",
            "fax_number": "937-641-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N FAIRFIELD RD STE 130",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322674",
            "telephone_number": "937-320-1950",
            "fax_number": "937-320-9332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5501 Far Hills Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454292203",
            "country_code": "US",
            "telephone_number": "937-436-2866",
            "fax_number": "937-436-1468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9000 N Main St Ste 332",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "454151185",
            "country_code": "US",
            "telephone_number": "937-832-7337",
            "fax_number": "937-832-4817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KROGER",
        "first_name": "HOLLI",
        "middle_name": "N",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-25",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0035235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0038328",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.