Individual provider Active NPI

Rachel Kennen, CNP

  • Family Nurse Practitioner
  • Magnolia, OH
National Provider Identifier
1306024500
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.18187-NP Issued in OH
Practice address
10029 Cleveland Ave. SE
Magnolia, OH 44643
Phone
(330) 234-3860
Fax
(234) 386-0108
NPI assigned
Feb 11, 2008
Last updated
Jan 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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 COA.18187-NP OH Primary

Addresses

Primary practice location

10029 Cleveland Ave. SE
Magnolia, OH 44643

Mailing address

10029 Cleveland Ave. SE
Magnolia, OH 44643
Phone (330) 234-3860

Other practice location 1

4774 Munson St NW Ste 204
Canton, OH 44718-3634
Phone (330) 754-4431

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
I20151023002476 OH Practitioner - Nurse Practitioner 3375852890 Reassigns benefits to 5 organizations

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
Aultman HospitalGroup PAC ID 3779485867, 41 clinicians
Ohio Physician Professional CorporationGroup PAC ID 2668406059, 143 clinicians
Orrville Hospital FoundationGroup PAC ID 7911890546, 78 clinicians

Practice addresses (Care Compare)

2600 6TH St SW
Canton, OH 44710-1702
Phone (330) 452-9911

2600 6TH SWST
Canton, OH 44710-1702
Phone (330) 363-2180

832 S Main St
Orrville, OH 44667-2208
Phone (330) 682-3010

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.96 of 100Reported as group
Quality
77.5
Promoting interoperability
99
Improvement activities
40
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.18187-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aultman Hospital CurrentSince Oct 1, 2025 Accepting new patients
Ohio Physician Professional Corporation CurrentSince Sep 28, 2020 Accepting new patients
Health Professionals of Holmes County, Inc CurrentSince Nov 15, 2018 Accepting new patients
Aultman Hospital Current Accepting new patients
Aultman Hospital CurrentSince Oct 1, 2025 Accepting new patients
Orrville Hospital Foundation CurrentSince Jul 1, 2021 Accepting new patients
201 Medicine, Inc. CurrentSince Nov 17, 2018 Accepting new patients
Orrville Hospital Foundation CurrentSince Jul 1, 2021 Accepting new patients
Advantage Home Health Services, Inc Past Accepting new patients

Locations

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

2600 6th St SW
Rm H2672
Canton, OH 44710
Phone (330) 305-0136

2600 7th St SW
Canton, OH 44710
Phone (330) 363-6242

981 Wooster Rd
Millersburg, OH 44654
Phone (330) 674-1015

4347 Portage St NW
Ste 102
North Canton, OH 44720

832 S Main St
Orrville, OH 44667
Phone (330) 456-2695

Organizations & group practices 10

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 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": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1306024500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10029 CLEVELAND AVE. SE",
            "city": "MAGNOLIA",
            "state": "OH",
            "postal_code": "44643",
            "telephone_number": "330-234-3860",
            "fax_number": "330-244-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10029 CLEVELAND AVE. SE",
            "city": "MAGNOLIA",
            "state": "OH",
            "postal_code": "44643",
            "telephone_number": "330-234-3860",
            "fax_number": "234-386-0108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4774 Munson St NW Ste 204",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447183634",
            "country_code": "US",
            "telephone_number": "330-754-4431",
            "fax_number": "330-244-8839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEN",
        "first_name": "RACHEL",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.18187-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, OH

Sources for this page

Verify at the official NPI Registry.