Kelley A Canale, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN.CNP.023876 Issued in OH

Practice address

5801 Tamarack Blvd
Columbus, OH 43229-3747

Phone

(614) 436-6009

Fax

(614) 436-6361

NPI assigned

Dec 6, 2018

Last updated

Jan 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, CO2 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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Care Solutions PCGroup PAC ID 4183847114, 24 clinicians

Incare Health Solutions LLCGroup PAC ID 5092980730, 66 clinicians

Urgent Care Solutions Glendale PCGroup PAC ID 7517103906, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Incare Health Solutions LLC

  dba Walk in Urgent Care

  • Internal Medicine Physician
  • Marion, OH
  • NPI 1235422403

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Primary Care Solutions P.C.

  dba AFC Primary Care

  • Primary Care Clinic/Center
  • Denver, CO
  • NPI 1871923250

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Urgent Care Solutions Glendale, P.C.

  dba Doctors Express Cherrycreek

  • Urgent Care Clinic/Center
  • Denver, CO
  • NPI 1336491075

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Incare Health Solutions, LLC

  dba Walk in Clinic

  • Primary Care Nurse Practitioner
  • Ontario, OH
  • NPI 1639621824

  Multi-Specialty

  NPD
• Urgent Care Solutions Glendale, PC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Denver, CO
  • NPI 1780190801
  NPD

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1699246413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 PURCELL ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806013551",
            "telephone_number": "303-659-9700",
            "fax_number": "720-336-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 TAMARACK BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293747",
            "telephone_number": "614-436-6009",
            "fax_number": "614-436-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANALE",
        "first_name": "KELLEY",
        "middle_name": "A",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.023876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Campus Optical (Eye Styles)
• Sarah Canada, BCBA/COBA
• Chastin Canady
• Raevaughn Canady
• Raevaughna Raenika Canady
• Thomas Roberto Canales, MD
• Matthew Robert Canan, CDCA
• Abigail Lynn Cancel
• Maria C Cancel
• Kaitlyn Canda, LSW

• Nurse Practitioner in Columbus, OH
• Providers in Columbus, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.