Individual provider Active NPI

Kathleen Elyse Reinemeyer, APRN

  • Family Nurse Practitioner
  • Bowling Green, OH
National Provider Identifier
1790130797
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.19238 Issued in OH
Practice address
1094 N Main St
Bowling Green, OH 43402-1346
Phone
(419) 373-6687
Fax
(419) 383-6688
NPI assigned
Apr 27, 2016
Last updated
Jun 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704303252 MI
Family Nurse Practitioner 363LF0000X RN.390686- OH
Family Nurse Practitioner 363LF0000X APRN.CNP.19238 OH Primary

Addresses

Primary practice location

1094 N Main St
Bowling Green, OH 43402-1346

Mailing address

1014 Vine St FL 21
Cincinnati, OH 45202-1141
Phone (888) 852-2567

Other practice location 1

4925 Jackman Rd
Toledo, OH 43613-3574
Phone (419) 473-1715

Other names 1

  • Kathleen Elyse McCulley 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
I20160721002023 OH Practitioner - Nurse Practitioner 7214220771 Reassigns benefits to 1 organization

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
The Little Clinic of Ohio LLCGroup PAC ID 7719087584, 212 clinicians

Practice addresses (Care Compare)

1014 Vine St
FL 2
Cincinnati, OH 45202-1141
Phone (615) 425-4200

199 Graceland Blvd
Columbus, OH 43214-1529
Phone (614) 410-2814

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704303252MIMDFamily Nurse Practitioner
APRN.CNP.19238OHMDFamily Nurse Practitioner
RN.390686-OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Ohio LLC Family CurrentSince Jun 16, 2016 Accepting new patients

Locations

1094 N Main St
Bowling Green, OH 43402
Phone (419) 353-5116

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

4925 Jackman Rd
Toledo, OH 43613
Phone (419) 473-1715

Interoperability endpoints

  • Direct secure messaging: kathleen.reinemeyer@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1790130797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 VINE ST FL 21",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021141",
            "telephone_number": "888-852-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1094 N MAIN ST",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434021346",
            "telephone_number": "419-373-6687",
            "fax_number": "419-383-6688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4925 Jackman Rd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436133574",
            "country_code": "US",
            "telephone_number": "419-473-1715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REINEMEYER",
        "first_name": "KATHLEEN",
        "middle_name": "ELYSE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-27",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704303252",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN.390686-",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.19238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "MCCULLEY",
            "middle_name": "ELYSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bowling Green, OH

Sources for this page

Verify at the official NPI Registry.