Active NPI
Kelly Ryan Kachoris
- Gerontology Nurse Practitioner
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- CNP.0030254
- Practice address
- 7502 State Rd Ste 2210a
Cincinnati, OH 45255-2596 - Phone
- (513) 624-2070
- NPI assigned
- Nov 16, 2021
- Last updated
- May 1, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 263651 | OH | |
| Acute Care Nurse Practitioner | 363LA2100X | 0030254 | OH | |
| Gerontology Nurse Practitioner | 363LG0600X | CNP.0030254 | OH | Primary |
Addresses
Primary practice location
7502 State Rd Ste 2210a
Cincinnati, OH 45255-2596
Mailing address
7502 State Rd Ste 2210a
Cincinnati, OH 45255-2596
Phone (513) 624-2070
Other practice location 1
7613 Cathedral Hills Dr
Cincinnati, OH 45244-2913
Phone (513) 722-5330
Other practice location 2
10600 Montgomery Rd Ste 300
Montgomery, OH 45242-4464
Phone (513) 853-9250
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0462231 | Medicaid | OH | |
| 2565399 | Medicaid | OH |
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7502 State Rd
Suite 2210a
Cincinnati, OH 45255-2596
Phone (513) 751-4222
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 263651 | OH | MD | Registered Nurse |
| 0030254 | OH | MD | Acute Care Nurse Practitioner |
| CNP.0030254 | OH | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Cincinnati Specialty Care LLC | Current | Accepting new patients | |
| Trihealth G, LLC | Current | Accepting new patients | |
| Trihealth G LLC | Current | Accepting new patients | |
| Mercy Health Physicians Cincinnati Specialty Care LLC | Current | Accepting new patients | |
| Trihealth H LLC | Current | Accepting new patients | |
| Trihealth G LLC | Past | Accepting new patients | |
| Trihealth Physician Institute | Past | Accepting new patients |
Locations
2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200
375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432
375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452
4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721
7502 State Rd
Ste 2210A
Cincinnati, OH 45255
Phone (513) 624-2070
9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750
201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100
10600 Montgomery Rd
Ste 300
Montgomery, OH 45242
Phone (513) 984-2510
Organizations & group practices 7
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.
-
- Surgery Physician
- Blue Ash, OH
- NPI 1154942795
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1295862944
-
- Obstetrics Physician
- Cincinnati, OH
- NPI 1811215742
-
dba Mercy Health- Kyles Station Orthopedic and Sports Medicine
- Durable Medical Equipment & Medical Supplies
- Liberty TWP, OH
- NPI 1730993270
-
dba GE Family Wellness Center Pharmacy
- Community/Retail Pharmacy
- Cincinnati, OH
- NPI 1184023640
-
dba GEROS Physician Extenders
- Nurse Practitioner
- Cincinnati, OH
- NPI 1922051697
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Hospital Anderson
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1235239211
-
dba Clermont Hospital
- General Acute Care Hospital
- Batavia, OH
- NPI 1568562551
-
dba Mercy Health - West Hospital
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1912007931
-
dba Mercy Health - West Hospital
- Clinical Medical Laboratory
- Cincinnati, OH
- NPI 1982728036
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1497411268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7502 STATE RD STE 2210A",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452552596",
"telephone_number": "513-624-2070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7502 STATE RD STE 2210A",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452552596",
"telephone_number": "513-624-2070"
}
],
"practiceLocations": [
{
"address_1": "7613 Cathedral Hills Dr",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452442913",
"country_code": "US",
"telephone_number": "513-722-5330",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10600 Montgomery Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "OH",
"postal_code": "452424464",
"country_code": "US",
"telephone_number": "513-853-9250",
"fax_number": "513-281-1908",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KACHORIS",
"first_name": "KELLY",
"middle_name": "RYAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-16",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "263651",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "0030254",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OH",
"license": "CNP.0030254",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0462231",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2565399",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.