Individual provider Active NPI

Kelsey Lyn Draper, PA-C

  • Physician Assistant
  • West Chester, OH
National Provider Identifier
1164938114
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.005397RX Issued in OH
Practice address
9075 Centre Pointe Dr Ste 200
West Chester, OH 45069-4886
Phone
(513) 221-1100
Fax
(513) 569-5312
NPI assigned
Dec 28, 2017
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 50.005397RX OH
Physician Assistant 363A00000X 50.005397RX OH Primary

Addresses

Primary practice location

9075 Centre Pointe Dr Ste 200
West Chester, OH 45069-4886

Mailing address

PO Box 643398
Cincinnati, OH 45264-3398
Phone (513) 221-1100

Other practice location 1

3825 Edwards Rd Ste 300
Cincinnati, OH 45209-1288
Phone (513) 221-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180119002395 OH Practitioner - Physician Assistant 0547529539 Reassigns benefits to 1 organization
I20180312001070 KY Practitioner - Physician Assistant 0547529539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayfield Clinic IncGroup PAC ID 9133013006, 74 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

10500 Montgomery Rd
Cincinnati, OH 45242-4402
Phone (513) 221-1100

2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 221-1100

375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 221-1100

4777 E Galbraith Rd
Cincinnati, OH 45236-2725
Phone (513) 221-1100

7567 Central Parke Blvd
Mason, OH 45040-6852

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mayfield Clinic Inc Physician Assistant CurrentSince Sep 25, 2023 Accepting new patients

Locations

3825 Edwards Rd
Ste 300
Cincinnati, OH 45209

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

9075 Centre Pointe Dr
Ste 200
West Chester, OH 45069

Interoperability endpoints

  • Direct secure messaging: kdraper@1241.direct.myezyaccess.com
  • Direct secure messaging: kelsey.draper.p1@direct.beaconortho.nextgenshare.com
  • Direct secure messaging: kelsey.draper@mayfield.eclinicaldirectplus.com

Organizations & group practices 3

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.

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": "1514419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1164938114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643398",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452643398",
            "telephone_number": "513-221-1100",
            "fax_number": "513-569-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9075 CENTRE POINTE DR STE 200",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450694886",
            "telephone_number": "513-221-1100",
            "fax_number": "513-569-5312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3825 Edwards Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452091288",
            "country_code": "US",
            "telephone_number": "513-221-1100",
            "fax_number": "513-684-4501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAPER",
        "first_name": "KELSEY",
        "middle_name": "LYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-28",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50.005397RX",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.005397RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

Verify at the official NPI Registry.