Kendra K. Maag

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

17598 Issued in OH

Practice address

1715 Indian Wood Circle
Suite 282
Maumee, OH 43537-4055

Phone

(219) 241-3321

NPI assigned

Jul 13, 2015

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

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jmac MedicalGroup PAC ID 9638607484, 2 clinicians

Praveen K Malhotra, MD, IncGroup PAC ID 7416994413, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, 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 and National Provider Directory roles.

• Jmac Medical

  • Foot & Ankle Surgery Podiatrist
  • Maumee, OH
  • NPI 1003652801
  Medicare reassignment Care Compare group NPD
• Praveen K Malhotra MD Inc

  • Vascular & Interventional Radiology Physician
  • Lima, OH
  • NPI 1801075395
  Medicare reassignment Care Compare group NPD
• Lima Memorial Joint Operating Company

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

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1275917932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16133 ROAD Q",
            "city": "COLUMBUS GROVE",
            "state": "OH",
            "postal_code": "458309208",
            "telephone_number": "419-615-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 INDIAN WOOD CIRCLE",
            "address_2": "SUITE 282",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435374055",
            "telephone_number": "219-241-3321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "531 S Eastown Rd",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458052800",
            "country_code": "US",
            "telephone_number": "419-227-4472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAAG",
        "first_name": "KENDRA",
        "middle_name": "K.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "17598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0221285",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Lussier
• Luxottica of America Inc.
• James D Lyions, M.D.
• M Jean Kay DDS Inc
• Bruce Maag
• Madisyn Maag
• Tonya Mackin
• Ellen Mackowiak, SP
• Samantha Madsen, RBT
• Sarah Jane Magoun, M.D.

• Family Nurse Practitioner in Maumee, OH
• Providers in Maumee, 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 Apr 30, 2025; 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.