Individual provider Active NPI

Kelley Marie Casto

  • Psychiatric/Mental Health Nurse Practitioner
  • Akron, OH
National Provider Identifier
1508316142
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.020068 Issued in OH
Practice address
1 Akron General Ave
Akron, OH 44307-2432
Phone
(303) 344-1559
NPI assigned
Oct 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.020068 OH Primary
Emergency Registered Nurse 163WE0003X RN.371434 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.020068 OH

Addresses

Primary practice location

1 Akron General Ave
Akron, OH 44307-2432

Mailing address

8860 Clubview St NW
Massillon, OH 44646-9701
Phone (330) 573-6504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NE, IA3 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
I20170223000813 OH Practitioner - Nurse Practitioner 9830473685 Reassigns benefits to 2 organizations
I20250115002505 NE Practitioner - Nurse Practitioner 9830473685 Reassigns benefits to 1 organization
I20250129002665 IA Practitioner - Nurse Practitioner 9830473685 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
Telehealth
Offers telehealth services
Group practices
Akron General Medical CenterGroup PAC ID 8426961061, 117 clinicians
Alegent Creighton HealthGroup PAC ID 1850285255, 137 clinicians

Practice addresses (Care Compare)

1 Akron General Ave
Akron, OH 44307-2432

7101 Newport Ave
Omaha, NE 68152-2164
Phone (402) 572-2905

801 Harmony St
Suite 302
Council Bluffs, IA 51503-3106
Phone (712) 328-2609

Hospital & facility affiliations

  • Akron General Medical Center Hospital, Akron, OH, CCN 360027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.371434OHMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Health CurrentSince Jan 14, 2025 Accepting new patients
Alegent Creighton Health CurrentSince Feb 1, 2025 Accepting new patients
Alegent Creighton Health CurrentSince Jan 14, 2025 Accepting new patients
Dayton Anesthesia & Pain Services, LLC CurrentSince Mar 17, 2017 Accepting new patients
Akron General Medical Center CurrentSince May 5, 2018 Accepting new patients
Akron General Medical Center CurrentSince May 5, 2018 Accepting new patients

Locations

801 Harmony St
Ste 302
Council Bluffs, IA 51503
Phone (712) 328-2609

2771 Solution Ctr
Chicago, IL 60677

7101 Newport Ave
Omaha, NE 68152
Phone (402) 572-2905

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

Organizations & group practices 6

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 1

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": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1508316142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8860 CLUBVIEW ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446469701",
            "telephone_number": "330-573-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AKRON GENERAL AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443072432",
            "telephone_number": "303-344-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTO",
        "first_name": "KELLEY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.020068",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "OH",
            "license": "RN.371434",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.020068",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.