Individual provider Active NPI

Andrea R Keller, MSN, APRN, NP-C

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1801210703
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.15614-NP Issued in OH
Practice address
2621 Victory Pkwy
Cincinnati, OH 45206-1754
Phone
(513) 242-7164
NPI assigned
Feb 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.15614-NP OH Primary
Family Nurse Practitioner 363LF0000X 3008578 KY

Addresses

Primary practice location

2621 Victory Pkwy
Cincinnati, OH 45206-1754

Mailing address

2600 Victory Pkwy
Cincinnati, OH 45206-1395
Phone (513) 751-7747

Other identifiers 1

IdentifierTypeStateIssuer
0097935MedicaidOH

Other names 1

  • Andrea Michelle Roche 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
I20140306000432 OH Practitioner - Nurse Practitioner 4284864554 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Talbert House Primary CareGroup PAC ID 4789954397, 4 clinicians

Practice addresses (Care Compare)

3009 Burnet Ave
Cincinnati, OH 45219-2419
Phone (513) 242-7164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
COA.15614-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gateways Recovery Inc CurrentSince Jan 3, 2022 Accepting new patients
Talbert House Primary Care CurrentSince Jan 4, 2022 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Feb 25, 2014 Accepting new patients
Gateways Recovery Past Accepting new patients
Talbert House Past Accepting new patients

Locations

3009 Burnet Ave
Cincinnati, OH 45219
Phone (513) 242-7164

4966 Glenway Ave
Cincinnati, OH 45238
Phone (513) 242-7164

2621 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 221-4673

4966 Glenway Ave
Ste 205
Cincinnati, OH 45238
Phone (513) 684-7977

2600 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 872-5863

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

1474 Main St
Hamilton, OH 45013
Phone (513) 868-6578

10477 Harrison Ave
Harrison, OH 45030
Phone (513) 202-8283

709 N High St
Mount Orab, OH 45154
Phone (513) 242-7164

Interoperability endpoints

  • Direct secure messaging: andrea.keller.1@12321.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1801210703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 VICTORY PKWY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061395",
            "telephone_number": "513-751-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 VICTORY PKWY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061754",
            "telephone_number": "513-242-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "ANDREA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.15614-NP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008578",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0097935",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "ROCHE",
            "middle_name": "MICHELLE",
            "credential": "MSN, APRN, NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.