Individual provider Active NPI

Constance D Kelly, CRNP

  • Nurse Practitioner
  • Middleburg Heights, OH
National Provider Identifier
1780110676
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP017456 Issued in PA
Practice address
7251 Engle Rd Ste 402
Middleburg Heights, OH 44130-3400
Phone
(440) 826-0500
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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 SP017456 PA Primary

Addresses

Primary practice location

7251 Engle Rd Ste 402
Middleburg Heights, OH 44130-3400

Mailing address

PO Box 639295
Cincinnati, OH 45263-9295
Phone (248) 824-6000

Other practice location 1

107 Gamma Dr
Suite 210
Pittsburgh, PA 15238-2917
Phone (412) 963-6677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, 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
I20170626002235 PA Practitioner - Nurse Practitioner 7517235492
I20170713002317 OH Practitioner - Nurse Practitioner 7517235492 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vpa PCGroup PAC ID 9234041948, 181 clinicians

Practice addresses (Care Compare)

Middleburg Heights, OH 44130
Phone (440) 826-0500

Hospital & facility affiliations

  • Elara Caring Home health agency, Mentor, OH, CCN 367173
  • Alpine Care Home Health Home health agency, Youngstown, OH, CCN 368140
  • Caretenders Home health agency, Madison, OH, CCN 367548
  • Capital Health Home Care Home health agency, Ashtabula, OH, CCN 367251
  • Ashtabula Regional Home Health Home health agency, Ashtabula, OH, CCN 367128
  • Ashtabula County Medical Center Hospital, Ashtabula, OH, CCN 360125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP017456PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Living Holdings Current Accepting new patients
Vpa PC Current Accepting new patients
Illumia Health LLC CurrentSince Nov 11, 2024 Accepting new patients
Vpa PC CurrentSince Jun 5, 2025 Accepting new patients
Illumia Health LLC CurrentSince Nov 11, 2024 Accepting new patients
Vpa PC CurrentSince Jun 5, 2025 Accepting new patients
Traveling Nurse Practitioner, LLC CurrentSince Mar 15, 2021 Accepting new patients
Summit Medical Group, PLLC PastSince Jan 10, 2022 Accepting new patients

Locations

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

4040 Embassy Pkwy
Ste 410
Akron, OH 44333
Phone (330) 576-5405

880 Mull Ave
Ste 200
Akron, OH 44313
Phone (330) 590-0847

83 N Miller Rd
Ste 101
Fairlawn, OH 44333

7350 Industrial Park Blvd
Mentor, OH 44060
Phone (216) 732-9480

7251 Engle Rd
Ste 402
Middleburg Heights, OH 44130
Phone (440) 826-0500

9200 Worthington Rd
Ste 300
Westerville, OH 43082
Phone (614) 888-7800

Interoperability endpoints

  • Direct secure messaging: constance.kelly.1@32913.direct.athenahealth.com
  • Direct secure messaging: cokelly@landmarkhealth-direct.org

Organizations & group practices 8

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.

Hospital & facility affiliations 6

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1780110676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639295",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639295",
            "telephone_number": "248-824-6000",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7251 ENGLE RD STE 402",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303400",
            "telephone_number": "440-826-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Gamma Dr",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152382917",
            "country_code": "US",
            "telephone_number": "412-963-6677",
            "fax_number": "412-963-6868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CONSTANCE",
        "middle_name": "D",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP017456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

Verify at the official NPI Registry.