Active NPI
Kelsie A Hammond, APRNCNP
- Nurse Practitioner
- Gahanna, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN.CNP.13587
- Practice address
- 540 Officenter PL
Gahanna, OH 43230-5317 - Phone
- (614) 293-1707
- Fax
- (614) 293-1716
- NPI assigned
- Jul 24, 2012
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN.CNP.13587 | OH | Primary |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.13587 | OH |
Addresses
Primary practice location
540 Officenter PL
Gahanna, OH 43230-5317
Mailing address
700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-1707
Other practice location 1
428 County Line Rd W
Westerville, OH 43082-7027
Phone (614) 847-3100
Other names 1
- Kelsie Ann Bredon
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
540 Officenter PL
Gahanna, OH 43230-5317
Phone (614) 293-1707
Hospital & facility affiliations
- Ohio State University State Health System
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.85 of 100
- Promoting interoperability
- 81
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.13587 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Ohio Emergency Services, LLC | Nurse Practitioner | Current | Accepting new patients |
| Osu Internal Medicine, LLC | Current | Accepting new patients | |
| CSD ASC LLC | Past | Accepting new patients |
Locations
3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997
700 Ackerman Rd
Ste 2120
Columbus, OH 43202
3900 Stoneridge Ln
Dublin, OH 43017
Phone (614) 366-5001
540 Officenter Pl
Gahanna, OH 43230
540 Officenter Pl
Ste 240
Gahanna, OH 43230
Phone (614) 688-9542
Interoperability endpoints
- khammond@qdp.emadirect.md
- khammond39853@direct.osumc.edu
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1740231448
-
- Emergency Medicine Physician
- Columbus, OH
- NPI 1386691780
Nurse Practitioner
-
- Ambulatory Surgical Clinic/Center
- Westerville, OH
- NPI 1821159823
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Columbus, OH
- NPI 1184723637
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1447359997
-
- Psychiatric Hospital Unit
- Columbus, OH
- NPI 1790876183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1407102726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ACKERMAN RD STE 2120",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021559",
"telephone_number": "614-293-1707",
"fax_number": "614-293-1716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 OFFICENTER PL",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432305317",
"telephone_number": "614-293-1707",
"fax_number": "614-293-1716"
}
],
"practiceLocations": [
{
"address_1": "428 County Line Rd W",
"address_purpose": "LOCATION",
"city": "Westerville",
"state": "OH",
"postal_code": "430827027",
"country_code": "US",
"telephone_number": "614-847-3100",
"fax_number": "614-430-1601",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMMOND",
"first_name": "KELSIE",
"middle_name": "A",
"credential": "APRNCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-24",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "APRN.CNP.13587",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.13587",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELSIE",
"last_name": "BREDON",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gahanna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.