Individual provider Active NPI

Erika Kelly, ARNP

  • Family Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1497209811
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0036587 Issued in OH
Practice address
2109 Hughes Dr # 450
Toledo, OH 43606-3858
Phone
(419) 291-2003
Fax
(419) 479-6977
NPI assigned
Aug 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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 4704419520 MI
Family Nurse Practitioner 363LF0000X APRN.CNP.0036587 OH Primary

Addresses

Primary practice location

2109 Hughes Dr # 450
Toledo, OH 43606-3858

Mailing address

2109 Hughes Dr # 450
Toledo, OH 43606-3858

Other practice location 1

777 Kimole Ln Ste 260
Adrian, MI 49221-1400
Phone (517) 265-0403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI, OH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170123000271 FL Practitioner - Nurse Practitioner 1759663065 Reassigns benefits to 1 organization
I20241028002423 MI Practitioner - Nurse Practitioner 1759663065 Reassigns benefits to 1 organization
I20241121002254 OH Practitioner - Nurse Practitioner 1759663065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Multi Specialty PhysiciansGroup PAC ID 7113182809, 269 clinicians

Practice addresses (Care Compare)

2109 Hughes Dr
Toledo, OH 43606-3858
Phone (419) 291-2003

777 Kimole LN
Suite 130
Adrian, MI 49221-1400
Phone (517) 265-0292

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Cardiothoracic Surgeons CurrentSince Aug 16, 2017 Accepting new patients
Promedica Multi Specialty Physicians CurrentSince Aug 1, 2025 Accepting new patients
Promedica Northwest Ohio Cardiology Consultants, LLC Past Accepting new patients

Locations

8010 Summerlin Lakes Dr
Ste 100
Fort Myers, FL 33907
Phone (239) 939-1767

8010 Summerlin Lakes Dr
Fort Myers, FL 33907
Phone (239) 939-1767

777 Kimole Ln
Ste 250
Adrian, MI 49221
Phone (517) 265-3411

777 Kimole Ln
Ste 260
Adrian, MI 49221
Phone (419) 479-2650

777 Kimole Ln
Ste 130
Adrian, MI 49221
Phone (517) 265-0292

730 N Macomb St
Ste 419
Monroe, MI 48162
Phone (734) 241-3900

960 W Wooster St
Ste 207
Bowling Green, OH 43402
Phone (419) 354-3072

1250 Ralston Ave
Ste 106
Defiance, OH 43512
Phone (419) 783-6931

501 Van Buren St
Ste 103
Fostoria, OH 44830

501 Van Buren St
#103
Fostoria, OH 44830

595 Bartson Rd
Fremont, OH 43420
Phone (419) 333-0540

2751 Bay Park Dr
Ste 302
Oregon, OH 43616
Phone (419) 690-7550

5180 Chappel Dr
Ste B4
Perrysburg, OH 43551

5308 Harroun Rd
Ste 280
Sylvania, OH 43560
Phone (419) 824-1888

5700 Monroe St
Unit 309
Sylvania, OH 43560
Phone (419) 291-2090

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2109 Hughes Dr
#450
Toledo, OH 43606

725 S Shoop Ave
#G101
Wauseon, OH 43567

Interoperability endpoints

  • Direct secure messaging: ekelly329430@direct.promedica.org

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.

Hospital & facility affiliations 7

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": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1497209811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 HUGHES DR # 450",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 HUGHES DR # 450",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063858",
            "telephone_number": "419-291-2003",
            "fax_number": "419-479-6977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Kimole Ln Ste 260",
            "address_purpose": "LOCATION",
            "city": "Adrian",
            "state": "MI",
            "postal_code": "492211400",
            "country_code": "US",
            "telephone_number": "517-265-0403",
            "fax_number": "517-265-0858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ERIKA",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704419520",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0036587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.