Individual provider Active NPI

Kelli A Motherwell, AGPCNP-C

  • Nephrology Physician
  • Cuyahoga Falls, OH
National Provider Identifier
1225698640
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
APRN.CNP.024862 Issued in OH
Practice address
421 Portage TRL Ste a
Cuyahoga Falls, OH 44221-3227
Phone
(330) 331-4466
NPI assigned
Jun 18, 2019
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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 RN.333481 OH
Nephrology Physician 207RN0300X APRN.CNP.024862 OH Primary

Addresses

Primary practice location

421 Portage TRL Ste a
Cuyahoga Falls, OH 44221-3227

Mailing address

421 Portage TRL
Cuyahoga Falls, OH 44221-3227
Phone (330) 398-3388

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
I20210212000680 OH Practitioner - Nurse Practitioner 0042625667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1390 S Arch Ave
Alliance, OH 44601-4111
Phone (330) 821-3961

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.333481OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio North East Health Systems, Inc. CurrentSince Nov 18, 2021 Accepting new patients
Ohio North East Health Systems Inc CurrentSince Nov 18, 2021 Accepting new patients
Ohio North East Health Systems, Inc. Current Accepting new patients
Ohio North East Health Systems, Inc Past Accepting new patients
Dialysis Access Center, LLC Past Accepting new patients
The Kidney Group, Inc Nephrology PastSince Oct 1, 1996 Accepting new patients

Locations

1390 S Arch Ave
Alliance, OH 44601
Phone (330) 821-3961

726 Wick Ave
Youngstown, OH 44505
Phone (330) 747-2330

Interoperability endpoints

  • Direct secure messaging: kelli.mercer.p1@direct.oho.nextgenshare.com

Organizations & group practices 6

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 1

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": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1225698640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 PORTAGE TRL",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213227",
            "telephone_number": "330-398-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 PORTAGE TRL STE A",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213227",
            "telephone_number": "330-331-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTHERWELL",
        "first_name": "KELLI",
        "middle_name": "A",
        "credential": "AGPCNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.333481",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "APRN.CNP.024862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

Verify at the official NPI Registry.