Individual provider Active NPI

Donna Kelly, FNP-C

  • Family Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1538554191
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA17044-NP Issued in OH
Practice address
3569 Ridge Rd
Cleveland, OH 44102-5443
Phone
(216) 281-0872
NPI assigned
Mar 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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 COA17044-NP OH Primary

Addresses

Primary practice location

3569 Ridge Rd
Cleveland, OH 44102-5443

Mailing address

2107 Willowdale Ave
Cleveland, OH 44109-2839
Phone (216) 924-0275

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
I20180122001286 OH Practitioner - Nurse Practitioner 1850650771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13027 Lorain Ave
Cleveland, OH 44111-2623
Phone (216) 281-0872

3569 Ridge Rd
Cleveland, OH 44102-5443
Phone (216) 281-0872

6412 Franklin Blvd
Cleveland, OH 44102-3153
Phone (216) 281-0872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
COA17044-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Care Incorporated CurrentSince Dec 19, 2017 Accepting new patients
Neighborhood Health Care Incorporated CurrentSince Dec 19, 2017 Accepting new patients
Neighborhood Health Care Incorporated Current Accepting new patients
The Metrohealth System Current Accepting new patients
Neighborhood Health Care Incorporated Current Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients

Locations

4115 Bridge Ave
Ste 300
Cleveland, OH 44113
Phone (216) 237-6129

3569 Ridge Rd
Cleveland, OH 44102

6412 Franklin Blvd
Cleveland, OH 44102
Phone (216) 363-7733

2358 Professor Ave
Cleveland, OH 44113
Phone (216) 334-2800

14625 Puritas Ave
Cleveland, OH 44135
Phone (216) 928-1950

13027 Lorain Ave
Cleveland, OH 44111
Phone (216) 688-1046

11709 Lorain Ave
Cleveland, OH 44111
Phone (216) 367-1004

3545 Ridge Rd
Ste 2
Cleveland, OH 44102
Phone (216) 961-6860

11906 Madison Ave
Lakewood, OH 44107

Interoperability endpoints

  • Direct secure messaging: dkelly186841@direct.ochin.org
  • Direct secure messaging: dkelly126650@direct.metrohealth.org

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1538554191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 WILLOWDALE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441092839",
            "telephone_number": "216-924-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3569 RIDGE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441025443",
            "telephone_number": "216-281-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "DONNA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA17044-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.