Kelly Renee Anderson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

12300 McCracken Rd
Garfield Heights, OH 44125-2914

Phone

(440) 344-4253

NPI assigned

Sep 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
• Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230
• Ashtabula County Medical Center Hospital, Ashtabula, OH, CCN 360125

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919

  OH

  Medicare reassignment Care Compare group NPD
• Wooster Clinic, LLC

  • Multi-Specialty Clinic/Center
  • Wooster, OH
  • NPI 1033135009

  OH

  Medicare reassignment NPD
• The Cleveland Clinic Foundation

  • Eyewear Supplier
  • Avon Lake, OH
  • NPI 1104334226
  Care Compare group
• The Cleveland Clinic Foundation

  • Eyewear Supplier
  • North Ridgeville, OH
  • NPI 1245748300
  Care Compare group
• The Cleveland Clinic Foundation

  • Durable Medical Equipment & Medical Supplies
  • Oberlin, OH
  • NPI 1265537179
  Care Compare group
• The Cleveland Clinic Foundation

  • Clinic Pharmacy
  • Strongsville, OH
  • NPI 1295717593
  Care Compare group
• The Cleveland Clinic Foundation

  • Eyewear Supplier
  • Akron, OH
  • NPI 1326175183
  Care Compare group
• The Cleveland Clinic Foundation

  • Clinic Pharmacy
  • Willoughby Hills, OH
  • NPI 1346348091
  Care Compare group
• The Cleveland Clinic Foundation

  • Durable Medical Equipment & Medical Supplies
  • Cleveland, OH
  • NPI 1497882690
  Care Compare group
• The Cleveland Clinic Foundation

  • Clinic Pharmacy
  • Sandusky, OH
  • NPI 1518170323
  Care Compare group
• The Cleveland Clinic Foundation

  • Eyewear Supplier
  • Independence, OH
  • NPI 1619551025
  Care Compare group
• The Cleveland Clinic Foundation

  • Optometrist
  • Loudonville, OH
  • NPI 1649441783
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ashtabula County Medical Center

  • General Acute Care Hospital
  • Ashtabula, OH
  • NPI 1285607416

  Hospital

  Care Compare affiliation
• Cleveland Clinic Health System - East Region

  • General Acute Care Hospital
  • Mayfield HTS, OH
  • NPI 1902858152

  Hospital

  Care Compare affiliation
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1124547104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 MCCRACKEN RD",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252914",
            "telephone_number": "440-344-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 MCCRACKEN RD",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441252914",
            "telephone_number": "440-344-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KELLY",
        "middle_name": "RENEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Paul Allison
• Victoria R Alonso, MD
• Alpha Alliance Care LLC
• Sumayyah Salem O Altariqi
• Frank P Alvarez
• Kenyatta Denise Anderson, FNP-C
• Blake Andonian
• Angel Dental Care
• Karen Angiulo
• Michael Herman Anikeev, M.D.

• All providers in Garfield Heights, OH
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.

Verify at the official NPI Registry.