Individual provider Active NPI

Jessica Lynn Kellar, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Niles, OH
National Provider Identifier
1437439734
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN023078 Issued in OH
Practice address
1331 Youngstown Warren Rd
Niles, OH 44446
Phone
(330) 505-2601
NPI assigned
Aug 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN023078 OH Primary

Addresses

Primary practice location

1331 Youngstown Warren Rd
Niles, OH 44446

Mailing address

100 Debartolo PL Ste 200
Youngstown, OH 44512-6095
Phone (330) 729-8146

Other identifiers 1

IdentifierTypeStateIssuer
0305377MedicaidOH

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
I20180913001711 OH Practitioner - Nurse Practitioner 0840540761 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal Care Medical Associates, LLCGroup PAC ID 1456344084, 64 clinicians
David and John Delliqoadri, D.O. IncGroup PAC ID 1254424641, 3 clinicians
Triad Health Services LLCGroup PAC ID 9032367917, 252 clinicians
Curana Health of OhioGroup PAC ID 3375924301, 51 clinicians
Minuteclinic Diagnostic of Ohio LLCGroup PAC ID 2961425608, 192 clinicians
Preferred Physician Services of Ohio LLCGroup PAC ID 7315328069, 66 clinicians

Practice addresses (Care Compare)

100 E Campus View Blvd
Suite 250
Columbus, OH 43235-4682
Phone (878) 201-3312

116 E Liberty St
Girard, OH 44420-2648
Phone (330) 545-8643

121 E Liberty St
Girard, OH 44420-2649
Phone (330) 545-5008

3239 Jefferson Ave
Suite 1
Cincinnati, OH 45220-2270
Phone 99799192769276

4961 Roberts Rd
Hilliard, OH 43026-8129
Phone (866) 389-2727

7230 Market St
Boardman, OH 44512-4513
Phone (866) 389-2727

9200 Worthington Rd
Suite 300
Westerville, OH 43082-7240
Phone (337) 991-9276

Hospital & facility affiliations

  • Absolute Home Health Home health agency, North Canton, OH, CCN 367754
  • Alliance Community Hospital Hospital, Alliance, OH, CCN 360131
  • Crandall Nursing Home Nursing home, Sebring, OH, CCN 365574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
APRN023078OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
David and John Delliqoadri, D.O. Inc CurrentSince Sep 15, 2022 Accepting new patients
Triad Health Services, LLC Family CurrentSince Sep 1, 2025 Accepting new patients
Personal Care Medical Associates LLC CurrentSince Jul 1, 2025 Accepting new patients
Minuteclinic Primary Care Ohio LLC Family CurrentSince Aug 1, 2025 Accepting new patients
Minuteclinic Diagnostic of Ohio LLC Family CurrentSince Aug 17, 2018 Accepting new patients
Crandall Medical Center Past Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients

Locations

100 E Campus View Blvd
Ste 250
Columbus, OH 43235
Phone (267) 817-8902

121 E Liberty St
Girard, OH 44420
Phone (330) 545-5008

116 E Liberty St
Girard, OH 44420
Phone (330) 545-8643

4961 Roberts Rd
Hilliard, OH 43026
Phone (614) 850-2407

1331 Youngstown Warren Rd
Niles, OH 44446
Phone (330) 505-2601

1100 Hill Rd N
Pickerington, OH 43147
Phone (614) 572-6610

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

2000 Cliffmine Rd
Ste 500
Pittsburgh, PA 15275
Phone (724) 766-0025

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCDFBD/Endpoint/FCDFBD

Organizations & group practices 10

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": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1437439734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DEBARTOLO PL STE 200",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126095",
            "telephone_number": "330-729-8146",
            "fax_number": "330-965-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 YOUNGSTOWN WARREN RD",
            "city": "NILES",
            "state": "OH",
            "postal_code": "44446",
            "telephone_number": "330-505-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLAR",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN023078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0305377",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, OH

Sources for this page

Verify at the official NPI Registry.