Individual provider Active NPI

Kelley E Irby, FNP-C

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1376014282
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.023640 Issued in OH
Practice address
625 Eden Park Dr
Cincinnati, OH 45202-6005
Phone
(513) 246-9155
Fax
(513) 487-4331
NPI assigned
Dec 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.023640 OH Primary
Nurse Practitioner 363L00000X APRN.CNP.023640 OH

Addresses

Primary practice location

625 Eden Park Dr
Cincinnati, OH 45202-6005

Mailing address

625 Eden Park Dr
Cincinnati, OH 45202-6005
Phone (513) 246-9155

Other practice location 1

1500 Sherman Ave
Norwood, OH 45212-2510
Phone (859) 753-4075

Other practice location 2

1578 Sherman Ave
Norwood, OH 45212-2510
Phone (859) 753-4075

Other practice location 3

CareBridge/Hospice of Southwest Ohio
7625 Camargo Rd.
Cincinnati, OH 45243
Phone (513) 528-8150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 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
I20190107000286 OH Practitioner - Nurse Practitioner 8921344334 Reassigns benefits to 2 organizations
I20220610002298 KY Practitioner - Nurse Practitioner 8921344334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trihealth G LLCGroup PAC ID 0749222651, 294 clinicians

Practice addresses (Care Compare)

625 Eden Park Dr
Cincinnati, OH 45202-6005
Phone (513) 246-9155

Hospital & facility affiliations

  • Summit Orthopaedic Home Care Home health agency, Blue Ash, OH, CCN 369119
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.023640OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G LLC Nurse Practitioner CurrentSince Dec 2, 2024 Accepting new patients
Carebridge Palliative Services Inc. CurrentSince Dec 17, 2018 Accepting new patients
Trihealth G, LLC CurrentSince Dec 2, 2024 Accepting new patients
Hospice of Southwest Ohio, Inc. PastSince Dec 17, 2018 Accepting new patients

Locations

7625 Camargo Rd
Cincinnati, OH 45243
Phone (513) 528-8150

7625 Camargo Rd
Ste 200
Cincinnati, OH 45243
Phone (513) 528-8150

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

Interoperability endpoints

  • Direct secure messaging: kirby450722@direct.trihealth.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1376014282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 EDEN PARK DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452026005",
            "telephone_number": "513-246-9155",
            "fax_number": "513-487-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 EDEN PARK DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452026005",
            "telephone_number": "513-246-9155",
            "fax_number": "513-487-4331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Sherman Ave",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "OH",
            "postal_code": "452122510",
            "country_code": "US",
            "telephone_number": "859-753-4075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1578 Sherman Ave",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "OH",
            "postal_code": "452122510",
            "country_code": "US",
            "telephone_number": "859-753-4075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "CareBridge/Hospice of Southwest Ohio",
            "address_2": "7625 Camargo Rd.",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45243",
            "country_code": "US",
            "telephone_number": "513-528-8150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRBY",
        "first_name": "KELLEY",
        "middle_name": "E",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.023640",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.023640",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.