Kellie Klimis

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

16979-NP Issued in OH

Practice address

2360 Southeast Blvd
Salem, OH 44460-3418

Phone

(330) 337-1134

Fax

(330) 337-1008

NPI assigned

Feb 4, 2015

Last updated

Apr 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

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

Group practices

Comprehensive Urology Institute IncGroup PAC ID 9638438245, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Salem Regional Medical Center Hospital, Salem, OH, CCN 360185
• MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064
• East Liverpool City Hospital Hospital, East Liverpool, OH, CCN 360096

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Comprehensive Urology Institute Inc.

  • Urology Physician
  • Salem, OH
  • NPI 1750807640
  Medicare reassignment Care Compare group NPD

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

• Mercy Health Youngstown LLC

  dba Mercy Health St Elizabeth Youngstown Hospital

  • General Acute Care Hospital
  • Youngstown, OH
  • NPI 1548296106
  Care Compare affiliation
• Mercy Health Youngstown LLC

  dba Mercy Health Youngstown Laboratory

  • Clinical Medical Laboratory
  • Youngstown, OH
  • NPI 1831600295

  Hospital

  Care Compare affiliation
• Salem Community Hospital

  dba Salem Regional Medical Center

  • General Acute Care Hospital
  • Salem, OH
  • NPI 1639131535
  Care Compare affiliation
• Salem Community Hospital

  dba SRMC Ancillary Services

  • Radiology Clinic/Center
  • Calcutta, OH
  • NPI 1750227377

  Hospital

  Care Compare affiliation
• The City Hospital Association

  dba East Liverpool City Hospital

  • General Acute Care Hospital
  • East Liverpool, OH
  • NPI 1659375673
  Care Compare affiliation

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1255721734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2279 BEDFORD RD",
            "city": "LOWELLVILLE",
            "state": "OH",
            "postal_code": "444369753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 SOUTHEAST BLVD",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444603418",
            "telephone_number": "330-337-1134",
            "fax_number": "330-337-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIMIS",
        "first_name": "KELLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-04",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "16979-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704372859",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.16979-NP",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "16979-NP",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704372859",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO LICENSE COA.",
            "identifier": "16979-NP",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rickie Lynn Kelley, PTA
• Chris Kemen, MD
• Christa Kempinski, APRN
• Robert E Kidder, M.D.
• KLG Mobile Intensive Co LLC
• Daniel Koehler
• Melody Jeanne Kollar
• William Z Kolozsi, MD
• Thomas E. Koskinen, RPH
• Kendra A Koulianos, CRNA

• Primary Care Nurse Practitioner in Salem, OH
• Providers in Salem, OH by specialty
• Primary Care Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.