Active NPI
Martha Suzanne Kelly, FNP
- Family Nurse Practitioner
- Sparks, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0027774
- Practice address
- 909 Ridgebrook Rd Ste 300
Sparks, MD 21152-9477 - Phone
- (441) 383-9300
- NPI assigned
- Sep 17, 2012
- Last updated
- Aug 22, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0027774 | OH | Primary |
| Registered Nurse | 163W00000X | RN.397302 | OH |
Addresses
Primary practice location
909 Ridgebrook Rd Ste 300
Sparks, MD 21152-9477
Mailing address
909 Ridgebrook Rd Ste 300
Sparks, MD 21152-9477
Phone (441) 383-9300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164W00000X | Medicaid | OH |
Other names 1
- Martha Suzanne Rose
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, WV
- 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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Public SQ
Suite 2300
Cleveland, OH 44114-2309
Phone 44338393001055
37930 Airport Rd
Woodsfield, OH 43793-9247
Phone (443) 383-9300
8420 Georgetown Rd
Cambridge, OH 43725-8866
Phone (443) 383-9300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.397302 | OH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Partners Plus PLLC | Current | Accepting new patients | |
| Consonant Healing Associates of de LLC | Current | Accepting new patients |
Locations
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
200 Public Sq
Ste 2300
Cleveland, OH 44114
Phone (443) 483-9300
6100 Oak Tree Blvd
Ste 200
Independence, OH 44131
Phone (330) 344-9030
1263 S George St
#A
Charles Town, WV 25414
2600 Middletown Cmns
Fl 1
White Hall, WV 26554
Phone (844) 401-4663
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1346590361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 RIDGEBROOK RD STE 300",
"city": "SPARKS",
"state": "MD",
"postal_code": "211529477",
"telephone_number": "441-383-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 RIDGEBROOK RD STE 300",
"city": "SPARKS",
"state": "MD",
"postal_code": "211529477",
"telephone_number": "441-383-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "MARTHA",
"middle_name": "SUZANNE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-17",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0027774",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.397302",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164W00000X",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARTHA",
"last_name": "ROSE",
"middle_name": "SUZANNE",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sparks, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.