Individual provider Active NPI

Kelly Ann Boroff-Praul, APRN-CNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1174850572
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.09964 Issued in OH
Practice address
480 Medical Center Dr FL 1
Columbus, OH 43210-1229
Phone
(855) 255-0550
Fax
(614) 366-4224
NPI assigned
Nov 6, 2009
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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.09964 OH Primary

Addresses

Primary practice location

480 Medical Center Dr FL 1
Columbus, OH 43210-1229

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (855) 255-0550

Other names 1

  • Kelly Ann Boroff 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
I20180312001010 OH Practitioner - Nurse Practitioner 7517228406 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osu Internal Medicine LLCGroup PAC ID 5496651408, 1,141 clinicians

Practice addresses (Care Compare)

480 Medical Ctr Dr
Columbus, OH 43210-1229
Phone (614) 293-4837

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Osu Internal Medicine, LLC CurrentSince Dec 1, 2023 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Feb 28, 2018 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

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

452 W 10th Ave
Rm 5000
Columbus, OH 43210

480 Medical Center Dr
Columbus, OH 43210
Phone (614) 293-3830

480 Medical Center Dr
Fl 1
Columbus, OH 43210
Phone (855) 255-0550

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

801 N Houk Rd
Delaware, OH 43015
Phone (740) 362-1827

3900 Stoneridge Ln
Dublin, OH 43017
Phone (614) 366-5001

6700 University Blvd
Ste 2A
Dublin, OH 43016

6417 Columbus Pike
Lewis Center, OH 43035
Phone (740) 201-6515

350 E Broad St
Pataskala, OH 43062
Phone (740) 964-2532

Interoperability endpoints

  • Direct secure messaging: kboroffpraul1168690@direct.osumc.edu
  • Direct secure messaging: kelly.boroffpraul@krogerhealth.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 4

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": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1174850572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "855-255-0550",
            "fax_number": "614-366-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 MEDICAL CENTER DR FL 1",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101229",
            "telephone_number": "855-255-0550",
            "fax_number": "614-366-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOROFF-PRAUL",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-06",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.09964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "BOROFF",
            "middle_name": "ANN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.