Individual provider Active NPI

Rena Kalter, FNP-BC

  • Family Nurse Practitioner
  • Kettering, OH
National Provider Identifier
1629508494
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0034261 Issued in OH
Practice address
424 E Stroop Rd
Kettering, OH 45429-2845
Phone
(937) 562-2300
NPI assigned
Jun 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 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 0034261 OH Primary

Addresses

Primary practice location

424 E Stroop Rd
Kettering, OH 45429-2845

Mailing address

11800 Sunset Hills Rd Unit 313
Reston, VA 20190-4779
Phone (614) 949-0099

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Direct Messaging Address rkalter898179@direct.ketteringhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20171130001849 VA Practitioner - Nurse Practitioner 9335412063 Reassigns benefits to 1 organization
I20240226001014 OH Practitioner - Nurse Practitioner 9335412063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Physicians IncGroup PAC ID 0840104360, 314 clinicians

Practice addresses (Care Compare)

424 E Stroop Rd
Ketterign, OH 45429-2843
Phone (937) 562-2300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0034261OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc CurrentSince Jan 2, 2024 Accepting new patients
Kettering Independent Medical Group Inc PastSince Dec 17, 2023 Accepting new patients
First Dayton Orthopedists, Inc. Past Accepting new patients

Locations

7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891

8701 Old Troy Pike
Ste 185
Huber Heights, OH 45424
Phone (937) 558-3300

424 E Stroop Rd
Unit B
Kettering, OH 45429
Phone (937) 562-2300

424 E Stroop Rd
Kettering, OH 45429
Phone (937) 562-2300

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

825 N Main St
Ste 120
Springboro, OH 45066
Phone (937) 762-5030

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

Organizations & group practices 5

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": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1629508494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 SUNSET HILLS RD UNIT 313",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904779",
            "telephone_number": "614-949-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 E STROOP RD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454292845",
            "telephone_number": "937-562-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALTER",
        "first_name": "RENA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0034261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "424 E Stroop Rd",
            "city": "Kettering",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454292845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkalter898179@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "424 E Stroop Rd",
            "city": "Kettering",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454292845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.