Individual provider Active NPI

Kaleb Edwards, FNP - BC

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1073386926
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0035220 Issued in OH
Practice address
2750 Beekman St
Cincinnati, OH 45225-2049
Phone
(513) 352-3592
NPI assigned
Nov 2, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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.0035220 OH Primary

Addresses

Primary practice location

2750 Beekman St
Cincinnati, OH 45225-2049

Mailing address

4613 Marburg Ave
Cincinnati, OH 45209-5005
Phone (513) 560-9499

Other practice location 1

3917 Spring Grove Ave
Cincinnati, OH 45223-3302
Phone (513) 357-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231121002110 OH Practitioner - Nurse Practitioner 9638527294 Reassigns benefits to 2 organizations
I20240927001324 OH Practitioner - Family Practice 9638527294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of CincinnatiGroup PAC ID 3476467804, 24 clinicians

Practice addresses (Care Compare)

1930 Fricke Rd
Cincinnati, OH 45225-1200
Phone (513) 357-2809

2240 Baltimore Ave
Cincinnati, OH 45225-1102
Phone (513) 357-2809

2411 Baltimore Ave
Cincinnati, OH 45225-1001
Phone (513) 357-2809

2750 Beekman St
Cincinnati, OH 45225-1297
Phone (513) 357-7421

3917 Spring Grove Ave
Cincinnati, OH 45223-3302
Phone (513) 357-7421

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Ohio LLC Family CurrentSince Nov 3, 2023 Accepting new patients
City of Cincinnati CurrentSince Jul 12, 2024 Accepting new patients
City of Cincinnati CurrentSince Jul 12, 2024 Accepting new patients
Ohio Med LLC CurrentSince Dec 1, 2023 Accepting new patients
City of Cincinnati Past Accepting new patients

Locations

3714 Madison Rd
Cincinnati, OH 45209
Phone (513) 204-1500

2750 Beekman St
Cincinnati, OH 45225
Phone (513) 352-3192

3101 Burnet Ave
Cincinnati, OH 45229
Phone (513) 357-7289

3917 Spring Grove Ave
Cincinnati, OH 45223
Phone (513) 357-7421

4613 Marburg Ave
Cincinnati, OH 45209
Phone (513) 782-5060

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

7570 Voice of America Centre Dr
West Chester, OH 45069
Phone (513) 442-3454

Interoperability endpoints

  • Direct secure messaging: kaleb.edwards@krogerhealth.eclinicaldirectplus.com

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": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1073386926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4613 MARBURG AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452095005",
            "telephone_number": "513-560-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 BEEKMAN ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452252049",
            "telephone_number": "513-352-3592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3917 Spring Grove Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452233302",
            "country_code": "US",
            "telephone_number": "513-357-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KALEB",
        "credential": "FNP - BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-02",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0035220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.