Individual provider Active NPI

Kelly Genene Routhier, NP-C

  • Nurse Practitioner
  • Bryan, OH
National Provider Identifier
1336506013
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRNCNP18674 Issued in OH
Practice address
228 S Main St
Bryan, OH 43506-1755
Phone
(567) 239-4562
NPI assigned
Jan 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRNCNP18674 OH Primary

Addresses

Primary practice location

228 S Main St
Bryan, OH 43506-1755

Mailing address

329 N West St
Lima, OH 45801-4331
Phone (419) 221-3072

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
I20161123001411 OH Practitioner - Nurse Practitioner 0345529848 Reassigns benefits to 3 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
Health Partners of Western OhioGroup PAC ID 9436139987, 56 clinicians

Practice addresses (Care Compare)

228 S Main St
Bryan, OH 43506-1755
Phone (567) 239-4562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRNCNP18674OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Hospital Inc CurrentSince Apr 1, 2022 Accepting new patients
Health Partners of Western Ohio CurrentSince Mar 22, 2023 Accepting new patients
Health Partners of Western Ohio Current Accepting new patients
Mind Redo CurrentSince Jun 7, 2021 Accepting new patients
Health Partners of Western Ohio CurrentSince Mar 22, 2023 Accepting new patients
Health Partners of Western Ohio Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Health Partners of Western Ohio Past Accepting new patients
Observation Physicians of Northwest Ohio LLC PastSince Mar 21, 2021 Accepting new patients

Locations

228 S Main St
Bryan, OH 43506
Phone (567) 239-4562

1018 Ralston Ave
Defiance, OH 43512
Phone (419) 567-2138

1 Spartan Way
Lima, OH 45801
Phone (419) 222-3546

441 E 8th St
Lima, OH 45804
Phone (419) 221-3723

329 N West St
Lima, OH 45801
Phone (419) 229-6007

1550 N Main St
Lima, OH 45801
Phone (419) 516-0327

1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045

7320 State Route 108
Ste A
Wauseon, OH 43567
Phone (419) 285-6655

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1336506013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 N WEST ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014331",
            "telephone_number": "419-221-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 S MAIN ST",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435061755",
            "telephone_number": "567-239-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUTHIER",
        "first_name": "KELLY",
        "middle_name": "GENENE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRNCNP18674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, OH

Sources for this page

Verify at the official NPI Registry.