Active NPI
Kelly L Nagel, FNP
- Family Nurse Practitioner
- Vandalia, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 07533
- Practice address
- 505 Corporate Center Dr
Vandalia, OH 45377-1167 - Phone
- (937) 898-2097
- NPI assigned
- Aug 31, 2006
- Last updated
- Jan 11, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 07533 | OH | Primary |
Addresses
Primary practice location
505 Corporate Center Dr
Vandalia, OH 45377-1167
Mailing address
505 Corporate Center Dr
Vandalia, OH 45377-1167
Phone (937) 898-2097
Other practice location 1
405 W Grand Ave
Dayton, OH 45405-7538
Phone (937) 723-3613
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2479643 | Medicaid | OH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | knagel186119@direct.ketteringhealth.org | ||
| FHIR URL | https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Wright State University Boonshoft School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309
4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.34 of 100
- Quality
- 63.67
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07533 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kettering Independent Medical Group Inc | Current | Accepting new patients | |
| Lima Memorial Professional Corporation | Past | Accepting new patients | |
| Ekg Associates | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Lima Memorial Professional Corporation | Past | Accepting new patients | |
| Mindgent Healthcare Clinics, LLC | Past | Accepting new patients |
Locations
3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000
101 E Alex Bell Rd
Ste 190
Dayton, OH 45459
Phone (937) 425-4020
405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200
405 W Grand Ave
Fl 4
Dayton, OH 45405
Phone (937) 558-3500
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
1997 W Centerville Rd
Washington Township, OH 45459
Phone (937) 401-6000
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
-
- Cardiovascular Disease Physician
- Lima, OH
- NPI 1285646752
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
dba Lima Group Family Physicians
- Family Medicine Physician
- Lima, OH
- NPI 1114978244
-
- Specialist
- Lima, OH
- NPI 1457474900
-
- Nurse Practitioner
- Indianapolis, IN
- NPI 1598716524
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kettering Health Dayton
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610323200000",
"number": "1003927138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 CORPORATE CENTER DR",
"city": "VANDALIA",
"state": "OH",
"postal_code": "453771167",
"telephone_number": "937-898-2097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 CORPORATE CENTER DR",
"city": "VANDALIA",
"state": "OH",
"postal_code": "453771167",
"telephone_number": "937-898-2097"
}
],
"practiceLocations": [
{
"address_1": "405 W Grand Ave",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454057538",
"country_code": "US",
"telephone_number": "937-723-3613",
"fax_number": "937-723-3277",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAGEL",
"first_name": "KELLY",
"middle_name": "L",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2021-01-11",
"certification_date": "2021-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "07533",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2479643",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "knagel186119@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "405 W Grand Ave",
"city": "Dayton",
"state": "OH",
"country_code": "US",
"postal_code": "454057538",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "405 W Grand Ave",
"city": "Dayton",
"state": "OH",
"country_code": "US",
"postal_code": "454057538",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Vandalia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.