Individual provider Active NPI

Kelsey Kies, CNP

  • Acute Care Nurse Practitioner
  • Middletown, OH
National Provider Identifier
1669821716
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
019641 Issued in OH
Practice address
1 Medical Center Dr FL 3
Middletown, OH 45005
Phone
(513) 974-6093
Fax
(513) 974-5005
NPI assigned
Jun 9, 2016
Last updated
Jan 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 019641 OH Primary

Addresses

Primary practice location

1 Medical Center Dr FL 3
Middletown, OH 45005

Mailing address

3170 Kettering Blvd BLDG B3
Moraine, OH 45439-1924
Phone (937) 991-3188

Other practice location 1

7700 University Dr
West Chester, OH 45069-2505
Phone (513) 475-7452

Other practice location 2

7700 University Dr
West Chester, OH 45069-2505
Phone (513) 475-7452

Other identifiers 1

IdentifierTypeStateIssuer
0172890MedicaidOH

Other names 1

  • Kelsey Kress Former name

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
I20161214001345 OH Practitioner - Nurse Practitioner 5799065405 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medicine Inpatient Group LLCGroup PAC ID 3577645340, 39 clinicians

Practice addresses (Care Compare)

630 Eaton Ave
Hamilton, OH 45013-2767
Phone (513) 867-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
57.66 of 100Reported as group
Quality
47.87
Promoting interoperability
0
Improvement activities
40
Cost
70.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019641OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Premier Health Specialists Inc CurrentSince Feb 4, 2019 Accepting new patients
Medicine Inpatient Group, LLC CurrentSince Dec 1, 2020 Accepting new patients
Premier Health Specialists Inc CurrentSince Feb 4, 2019 Accepting new patients
Ohio Emergency Professionals Inc CurrentSince Dec 21, 2021 Accepting new patients

Locations

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

6939 Cox Rd
Liberty Township, OH 45069
Phone (513) 206-1460

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

1 Medical Center Dr
Fl 3
Middletown, OH 45005
Phone (513) 895-5473

3170 Kettering Blvd
Bldg B3
Moraine, OH 45439
Phone (937) 991-3188

110 N Poplar St
Oxford, OH 45056
Phone (513) 523-2111

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

7700 University Dr
West Chester, OH 45069
Phone (513) 298-3000

7700 University Dr
Ste 3100
West Chester, OH 45069
Phone (513) 475-8264

Interoperability endpoints

  • Direct secure messaging: kkies24063@direct.uchealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1669821716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD BLDG B3",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-991-3188",
            "fax_number": "937-223-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR FL 3",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "45005",
            "telephone_number": "513-974-6093",
            "fax_number": "513-974-5005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7700 University Dr",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450692505",
            "country_code": "US",
            "telephone_number": "513-475-7452",
            "fax_number": "513-475-7453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7700 University Dr",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450692505",
            "country_code": "US",
            "telephone_number": "513-475-7452",
            "fax_number": "513-475-7453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIES",
        "first_name": "KELSEY",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "019641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0172890",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "KRESS",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.