Individual provider Active NPI

Kelci Elizabeth Tull, CNP

  • Family Nurse Practitioner
  • Sardinia, OH
National Provider Identifier
1164290243
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0035763 Issued in OH
Practice address
7109 Bachman Rd
Sardinia, OH 45171-8242
Phone
(937) 446-2531
NPI assigned
Dec 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 447193 OH
Family Nurse Practitioner 363LF0000X 0035763 OH Primary

Addresses

Primary practice location

7109 Bachman Rd
Sardinia, OH 45171-8242

Mailing address

7109 Bachman Rd
Sardinia, OH 45171-8242
Phone (937) 446-2531

Other practice location 1

4881 Oh-125
Georgetown, OH 45121
Phone (937) 378-2526

Other names 1

  • Kelci Elizabeth Bowling Former name

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
I20240307000077 OH Practitioner - Nurse Practitioner 7214373745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Cincinnati LLCGroup PAC ID 6709790892, 191 clinicians

Practice addresses (Care Compare)

7109 Bachman Rd
Sardinia, OH 45171-8242
Phone (513) 753-7488

Hospital & facility affiliations

  • Special Touch Home Care LLC Home health agency, Manchester, OH, CCN 369123
  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
  • Mercy Health - Clermont Hospital Hospital, Batavia, OH, CCN 360236
  • Adams County Regional Medical Center Hospital, Seaman, OH, CCN 361326

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
447193OHMDRegistered Nurse
0035763OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati LLC CurrentSince Mar 10, 2024 Accepting new patients
Mercy Health Physicians Cincinnati, LLC CurrentSince Mar 10, 2024 Accepting new patients

Locations

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

9354 Mount Orab Pike
Georgetown, OH 45121
Phone (937) 378-2526

7109 Bachman Rd
Sardinia, OH 45171
Phone (937) 446-2531

Interoperability endpoints

  • Direct secure messaging: ktull863376@direct.bsmhealth.org

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1164290243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109 BACHMAN RD",
            "city": "SARDINIA",
            "state": "OH",
            "postal_code": "451718242",
            "telephone_number": "937-446-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7109 BACHMAN RD",
            "city": "SARDINIA",
            "state": "OH",
            "postal_code": "451718242",
            "telephone_number": "937-446-2531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4881 OH-125",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "OH",
            "postal_code": "45121",
            "country_code": "US",
            "telephone_number": "937-378-2526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TULL",
        "first_name": "KELCI",
        "middle_name": "ELIZABETH",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "447193",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0035763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELCI",
            "last_name": "BOWLING",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sardinia, OH

Sources for this page

Verify at the official NPI Registry.