Kelly Creviston, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA.17069-NP Issued in OH

Practice address

1199 Delaware Ave Ste 106
Marion, OH 43302-7462

Phone

(740) 722-0010

Fax

(833) 764-6177

NPI assigned

Apr 6, 2015

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

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Nextgen Nurse Practitioner Group LLCGroup PAC ID 8729564752, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marion General Hospital Hospital, Marion, OH, CCN 360011

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelly.creviston.1@16701.direct.athenahealth.com
• Direct secure messaging: kelly.creviston.1@32552.direct.athenahealth.com

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.

• Nextgen Nurse Practitioner Group LLC

  • Primary Care Nurse Practitioner
  • Marion, OH
  • NPI 1780558171
  Medicare reassignment Care Compare group NPD

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

• Marion General Hospital, Inc.

  • General Acute Care Hospital
  • Marion, OH
  • NPI 1215935366
  Care Compare affiliation
• Marion General Hospital, Inc.

  dba MGH Reference Lab

  • Clinical Medical Laboratory
  • Marion, OH
  • NPI 1427494277

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1164817193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 DELAWARE AVE STE 106",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433027462",
            "telephone_number": "740-722-0010",
            "fax_number": "833-764-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 DELAWARE AVE STE 106",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433027462",
            "telephone_number": "740-722-0010",
            "fax_number": "833-764-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREVISTON",
        "first_name": "KELLY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.17069-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Renee Cox
• Deana N Crabtree, STNA
• Ethan Thomas Craig
• Crawford-Marion Prevention Programs
• Brandy Crawford, LSW
• Monica Crimmins, LICDC-S
• Chasidy Renee Crist, APRN
• Amy Crow, CRNA
• Robert Crowell, M.D.
• Paul R Culler, MD

• Family Nurse Practitioner in Marion, OH
• Providers in Marion, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.