Individual provider Active NPI

Hope E. Kelly, APRN-CNP

  • Nurse Practitioner
  • Logan, OH
National Provider Identifier
1801161013
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0035186 Issued in OH
Practice address
601 State Route 664 N
Logan, OH 43138-8541
Phone
(740) 380-8000
NPI assigned
Mar 21, 2012
Last updated
Mar 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0035186 OH Primary
Family Nurse Practitioner 363LF0000X COA.13190 OH
Family Nurse Practitioner 363LF0000X 71004148A IN

Addresses

Primary practice location

601 State Route 664 N
Logan, OH 43138-8541

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

996 S State Road 135
Greenwood, IN 46143-7365
Phone (317) 893-3888

Other practice location 2

100 High St
Geneva, IN 46740-1020
Phone (260) 368-7370

Other practice location 3

100 High St
Geneva, IN 46740-1020
Phone (260) 368-7370

Other practice location 4

1100 Mercer Ave
Decatur, IN 46733-2303
Phone (260) 724-2145

Other identifiers 3

IdentifierTypeStateIssuer
000000785263OtherANTHEM BLUE CROSS BLUE SHIELD
0062692MedicaidOH
201107000MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hkelly@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN, TN, ND4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20120511000578 OH Practitioner - Nurse Practitioner 9133382062 Reassigns benefits to 1 organization
I20121116000330 IN Practitioner - Nurse Practitioner 9133382062 Reassigns benefits to 1 organization
I20220923000195 TN Practitioner - Nurse Practitioner 9133382062 Reassigns benefits to 2 organizations
I20260416001688 ND Practitioner - Nurse Practitioner 9133382062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

709 4TH Ave NE
Watford City, ND 58854-7628
Phone (701) 842-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.13190OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee Ed, PLLC Nurse Practitioner CurrentSince Sep 16, 2022 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Nurse Practitioner CurrentSince Jan 15, 2025 Accepting new patients
Meridian Health Services Corp. CurrentSince Jan 1, 2026 Accepting new patients
Indiana University Health Urgent Care Centers, LLC CurrentSince Jan 14, 2024 Accepting new patients
Emergency Medicine Services of TN, PC Family CurrentSince Apr 1, 2025 Accepting new patients
Meridian Health Services Corp CurrentSince Jan 1, 2026 Accepting new patients
Indiana University Health Urgent Care Centers, LLC PastSince Jun 1, 2022 Accepting new patients
Mercy Health Physicians Lima, LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Diabetes Associates of Ohio Inc PastSince Jan 9, 2023 Accepting new patients

Locations

2020 McKinnie Ave
Fort Wayne, IN 46806
Phone (260) 299-3151

2622 Lake Ave
Ste 1
Fort Wayne, IN 46805
Phone (260) 299-3160

996 S State Road 135
Greenwood, IN 46143
Phone (317) 893-3888

996 S State Road 135
Ste P
Greenwood, IN 46143
Phone (317) 893-3888

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

240 N Tillotson Ave
Muncie, IN 47304

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

1325 Highway 76
Clarksville, TN 37043
Phone (931) 358-6600

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

Interoperability endpoints

  • Direct secure messaging: hkelly@direct.iuhealth.org

Organizations & group practices 11

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": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1801161013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 STATE ROUTE 664 N",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431388541",
            "telephone_number": "740-380-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "996 S State Road 135",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461437365",
            "country_code": "US",
            "telephone_number": "317-893-3888",
            "fax_number": "317-893-3818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 High St",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IN",
            "postal_code": "467401020",
            "country_code": "US",
            "telephone_number": "260-368-7370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 High St",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IN",
            "postal_code": "467401020",
            "country_code": "US",
            "telephone_number": "260-368-7370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Mercer Ave",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IN",
            "postal_code": "467332303",
            "country_code": "US",
            "telephone_number": "260-724-2145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "HOPE",
        "middle_name": "E.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0035186",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.13190",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004148A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "000000785263",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0062692",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201107000",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hkelly@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "996 S State Road 135",
            "city": "Greenwood",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461437365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Logan, OH

Sources for this page

Verify at the official NPI Registry.