Individual provider Active NPI

Kelly Thueneman, APRN

  • Family Nurse Practitioner
  • West Chester, OH
National Provider Identifier
1285026476
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010234 Issued in KY
Practice address
7690 Discovery Dr
West Chester, OH 45069-6542
Phone
(513) 475-7630
Fax
(513) 475-7636
NPI assigned
Feb 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 3010234 KY Primary

Addresses

Primary practice location

7690 Discovery Dr
West Chester, OH 45069-6542

Mailing address

PO Box 636256
Central Credentialing
Cincinnati, OH 45263-6256
Phone (513) 585-5505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160621000388 KY Practitioner - Nurse Practitioner 9739470816 Reassigns benefits to 2 organizations
I20170711002761 OH Practitioner - Nurse Practitioner 9739470816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Cincinnati Physicians Company LLCGroup PAC ID 2264344480, 1,474 clinicians

Practice addresses (Care Compare)

350 Thomas More Pkwy
Crestview Hills, KY 41017-5465
Phone (859) 426-1800

7690 Discovery Dr
West Chester, OH 45069-6542
Phone (513) 475-7425

Hospital & facility affiliations

  • University of Cincinnati Medical Center, LLC Hospital, Cincinnati, OH, CCN 360003

Merit-based Incentive Payment System (MIPS)

Final score
82 of 100Reported as group
Quality
65.97
Promoting interoperability
100
Improvement activities
40
Cost
74.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3010234KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Cincinnati Physicians Company, LLC CurrentSince Jun 24, 2017 Accepting new patients
The Dermatology Center PSC CurrentSince May 1, 2016 Accepting new patients
University of Cincinnati Medical Center, LLC Past Accepting new patients
Northern Kentucky Dermatology PSC PastSince Sep 1, 2003 Accepting new patients

Locations

350 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (513) 569-5200

2701 Chancellor Dr
Crestview Hills, KY 41017
Phone (859) 341-1878

10060 Demia Way
Florence, KY 41042
Phone (859) 525-6770

4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200

68 Cavalier Blvd
Florence, KY 41042
Phone (513) 475-7630

68 Cavalier Blvd
Ste 2100
Florence, KY 41042
Phone (859) 594-1201

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

3590 Lucille Dr
Cincinnati, OH 45213
Phone (513) 475-7630

2830 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 245-3335

7690 Discovery Dr
West Chester, OH 45069
Phone (513) 475-7425

Interoperability endpoints

  • Direct secure messaging: kthueneman45496@direct.uchealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285026476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636256",
            "address_2": "CENTRAL CREDENTIALING",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636256",
            "telephone_number": "513-585-5505",
            "fax_number": "513-585-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7690 DISCOVERY DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450696542",
            "telephone_number": "513-475-7630",
            "fax_number": "513-475-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUENEMAN",
        "first_name": "KELLY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

Verify at the official NPI Registry.