Gina Kelley, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.15388 Issued in OH

Practice address

15655 State Route 170 Ste H
East Liverpool, OH 43920-9672

Phone

(330) 932-0183

Fax

(330) 932-0240

NPI assigned

Nov 1, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FBJFBA
• Direct secure messaging: gina.kelly@rvp.eclinicaldirectplus.com

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.

• Comprehensive Behavioral Health Associates, Inc.

  • Professional Counselor
  • Youngstown, OH
  • NPI 1114985413
  NPD
• River Valley Physicians, LLC

  • Multi-Specialty Clinic/Center
  • East Liverpool, OH
  • NPI 1891756870
  NPD
• Openloop Healthcare Partners PC

  • General Practice Physician
  • Des Moines, IA
  • NPI 1245820661
  NPD (past)

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1669801536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645409",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152645252",
            "telephone_number": "330-386-6442",
            "fax_number": "330-386-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15655 STATE ROUTE 170 STE H",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209672",
            "telephone_number": "330-932-0183",
            "fax_number": "330-932-0240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16761 Saint Clair Ave # 2",
            "address_purpose": "LOCATION",
            "city": "East Liverpool",
            "state": "OH",
            "postal_code": "439209400",
            "country_code": "US",
            "telephone_number": "330-932-3301",
            "fax_number": "330-368-0957",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 W 5th St",
            "address_purpose": "LOCATION",
            "city": "East Liverpool",
            "state": "OH",
            "postal_code": "439202405",
            "country_code": "US",
            "telephone_number": "330-386-5279",
            "fax_number": "330-386-5866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 W 6th St",
            "address_purpose": "LOCATION",
            "city": "East Liverpool",
            "state": "OH",
            "postal_code": "439202921",
            "country_code": "US",
            "telephone_number": "330-385-7170",
            "fax_number": "330-385-6359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "GINA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.15388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3910000958",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0094665",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Gina.Kelly@rvp.eclinicaldirectplus.com",
            "affiliation": "Y",
            "affiliationName": "River Valley Physicians, LLC",
            "address_1": "15655 State Route 170 Ste H",
            "city": "East Liverpool",
            "state": "OH",
            "country_code": "US",
            "postal_code": "439209672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Gina.Kelly@rvp.eclinicaldirectplus.com",
            "affiliation": "Y",
            "affiliationName": "River Valley Physicians, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "425 W 5th St",
            "city": "East Liverpool",
            "state": "OH",
            "country_code": "US",
            "postal_code": "439202405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Derrek Daeyool Kang, MD
• Heidi M Katabi-Kekel, LPCC-S
• Amandeep Kaur, MD
• Rachel Delynn Kearney, MS CCC-SLP
• Peter Whitehead Kearns, CRNA
• Andrew James Kern
• Laurie Kernich, RN
• Ashley Marie Kerr, STNA
• Mariah Angel Kerr, M.S., CF-SLP
• Cynthia Kester

• Family Nurse Practitioner in East Liverpool, OH
• Providers in East Liverpool, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.