Sue Anne Marie Kelly, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRNCNP-0036950 Issued in OH

Practice address

4879 US Highway 68 S
West Liberty, OH 43357-9525

Phone

(937) 599-1411

NPI assigned

Sep 4, 2024

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health and Wellness Partners of Logan CountyGroup PAC ID 8022247469, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mary Rutan Hospital Hospital, Bellefontaine, OH, CCN 360197
• Lima Memorial Health System Hospital, Lima, OH, CCN 360009
• Memorial Hospital Hospital, Marysville, OH, CCN 360092

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Community Health & Wellness Partners of Logan County

  • Community Health Clinic/Center
  • West Liberty, OH
  • NPI 1689005357
  Medicare reassignment Care Compare group NPD
• Community Health & Wellness Partners of Logan County

  • Student Health Clinic/Center
  • Saint Paris, OH
  • NPI 1205641388
  NPD
• Community Health & Wellness Partners of Logan County

  • Student Health Clinic/Center
  • Urbana, OH
  • NPI 1730782798
  NPD
• Community Health & Wellness Partners of Logan County

  • Student Health Clinic/Center
  • West Liberty, OH
  • NPI 1083215875
  NPD (past)
• Community Health & Wellness Partners of Logan County

  • Federally Qualified Health Center (FQHC)
  • De Graff, OH
  • NPI 1447965058
  NPD (past)
• Community Health & Wellness Partners of Logan County

  • Federally Qualified Health Center (FQHC)
  • Russells Point, OH
  • NPI 1962828293
  NPD (past)
• Community Health & Wellness Partners of Logan County

  • Community Health Clinic/Center
  • Bellefontaine, OH
  • NPI 1982360533
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  Care Compare affiliation
• Mary Rutan Hospital

  • General Acute Care Hospital
  • Bellefontaine, OH
  • NPI 1548254931
  Care Compare affiliation
• Memorial Hospital of Union County

  • General Acute Care Hospital
  • Marysville, OH
  • NPI 1720159338
  Care Compare affiliation

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1265267645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 COUNTY ROAD 5 N",
            "city": "ZANESFIELD",
            "state": "OH",
            "postal_code": "433609747",
            "telephone_number": "937-407-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4879 US HIGHWAY 68 S",
            "city": "WEST LIBERTY",
            "state": "OH",
            "postal_code": "433579525",
            "telephone_number": "937-599-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "SUE ANNE",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRNCNP-0036950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rex D. Huffer, D.C.
• Carl Gene Jenkins
• Kimberly Kay Jenkins
• Alyssa Anne Kauffman, RD
• Sheila Dawn Kegg
• Carla L King
• Michael K King, LPC LSW
• Rebecca Kitchen, COTA/L
• Mercedes A Kline, ATC
• Matthew Robert Klopfenstein, CNP

• Family Nurse Practitioner in West Liberty, OH
• Providers in West Liberty, 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 Sep 4, 2024; 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.