Individual provider Active NPI

Jennifer Kelch, CNP

  • Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1609324441
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
330462 Issued in OH
Practice address
5240 E Galbraith Rd Ste a
Cincinnati, OH 45236-2879
Phone
(513) 721-7533
Fax
(513) 721-1036
NPI assigned
Sep 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 330462 OH Primary

Addresses

Primary practice location

5240 E Galbraith Rd Ste a
Cincinnati, OH 45236-2879

Mailing address

5240 E Galbraith Rd Ste a
Cincinnati, OH 45236-2879
Phone (513) 721-7533

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
I20161107001856 OH Practitioner - Nurse Practitioner 5193004588 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
Neurological and Sleep Disorders IncGroup PAC ID 1052215605, 4 clinicians

Practice addresses (Care Compare)

4421 Eastgate Blvd
Suite 200
Cincinnati, OH 45245-4501
Phone (513) 721-7533

5240 E Galbraith Rd
Suite a
Cincinnati, OH 45236-2879
Phone (513) 721-7533

5240 E Galbraith Rd a
Cincinnati, OH 45236-2879

5885 Harrison Ave
Suite 3300
Cincinnati, OH 45248-1735
Phone (513) 721-7533

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
330462OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Your MD, LLC CurrentSince Apr 30, 2023 Accepting new patients

Locations

5240 E Galbraith Rd
Ste A
Cincinnati, OH 45236
Phone (513) 721-9600

8250 Kenwood Crossing Way
Ste 225
Cincinnati, OH 45236
Phone (513) 936-0444

Organizations & group practices 2

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": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1609324441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 E GALBRAITH RD STE A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362879",
            "telephone_number": "513-721-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 E GALBRAITH RD STE A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362879",
            "telephone_number": "513-721-7533",
            "fax_number": "513-721-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELCH",
        "first_name": "JENNIFER",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "330462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.