Active NPI
Kelly Lynn Braden, NP-C
- Family Nurse Practitioner
- Oregon, OH
National Provider Identifier
1326230475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP-09492
- Practice address
- 2751 Bay Park Drive #300
Oregon, OH 43616 - Phone
- (419) 690-7596
- Fax
- (419) 697-6707
- NPI assigned
- Aug 13, 2007
- Last updated
- Sep 29, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP-09492 | OH | Primary |
Addresses
Primary practice location
2751 Bay Park Drive #300
Oregon, OH 43616
Mailing address
333 N Summit St 7TH FL
Toledo, OH 43604
Phone (419) 690-7596
Other practice location 1
7140 Port Sylvania Dr
Suite 420
Toledo, OH 43617-1176
Phone (419) 843-8145
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48351 | Other | HEALTH PLAN OF MICHIGAN | |
| 000000557727 | Other | OH | ANTHEM |
Other names 1
- Kelly Lynn Roberts
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kbraden7904@epicdirect.promedica.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2801 Bay Park Dr
Oregon, OH 43616-4920
Phone (419) 690-7900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP-09492 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Park Community Hospital | Current | Accepting new patients | |
| Aspen Medical Partners LLC | Family | Current | Accepting new patients |
| Promedica Central Physicians | Past | Accepting new patients | |
| Bay Park Community Hospital | Past | Accepting new patients |
Locations
7581 Secor Rd
Lambertville, MI 48144
Phone (734) 854-1800
2751 Bay Park Dr
Ste 300
Oregon, OH 43616
Phone (419) 690-7596
2801 Bay Park Dr
Oregon, OH 43616
Phone (419) 690-7652
Interoperability endpoints
- kbraden7904@epicdirect.promedica.org
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Oregon, OH
- NPI 1598765539
-
- Family Medicine Physician
- Lambertville, MI
- NPI 1992788251
-
- Emergency Medical Services (Emergency Medicine) Physician
- Oregon, OH
- NPI 1346423480
-
- Family Medicine Physician
- Toledo, OH
- NPI 1043270150
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oregon, OH
- NPI 1598765539
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1326230475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N SUMMIT ST 7TH FL",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43604",
"telephone_number": "419-690-7596",
"fax_number": "419-697-6707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2751 BAY PARK DRIVE #300",
"city": "OREGON",
"state": "OH",
"postal_code": "43616",
"telephone_number": "419-690-7596",
"fax_number": "419-697-6707"
}
],
"practiceLocations": [
{
"address_1": "7140 Port Sylvania Dr",
"address_2": "Suite 420",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436171176",
"country_code": "US",
"telephone_number": "419-843-8145",
"fax_number": "419-841-7735",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRADEN",
"first_name": "KELLY",
"middle_name": "LYNN",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-13",
"last_updated": "2026-09-29",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "NP-09492",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN OF MICHIGAN",
"identifier": "48351",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000557727",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kbraden7904@epicdirect.promedica.org",
"affiliation": "N",
"address_1": "100 Madison Ave",
"city": "Toledo",
"state": "OH",
"country_code": "US",
"postal_code": "436041516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KELLY",
"last_name": "ROBERTS",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Oregon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.