Tracy Dean Kelley, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.025242 Issued in OH

Practice address

630 W Main St Ste 207
Wilmington, OH 45177-2166

Phone

(937) 283-2570

NPI assigned

Jul 10, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Highland District Hospital Professional Services CorporationGroup PAC ID 3971415696, 25 clinicians

Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Wilmington Physicians Group LLCGroup PAC ID 4688853419, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trihealth Clinton Regional Hospital Hospital, Wilmington, OH, CCN 360175
• Highland District Hospital Hospital, Hillsboro, OH, CCN 361332

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1367/brand/1/csg/1/fhir/r4
• Direct secure messaging: tracy.kelley@704133694685188.direct.elationemr.com
• Direct secure messaging: tracykelley@hfh.allscriptsdirect.net
• Direct secure messaging: tracy.kelley.2@6237.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/6237/brand/1/csg/1/fhir/r4

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.

• Highland District Hospital Professional Services Corporation

  • Family Medicine Physician
  • Hillsboro, OH
  • NPI 1205893351
  Medicare reassignment Care Compare group NPD
• Trihealth H LLC

  • Obstetrics Physician
  • Cincinnati, OH
  • NPI 1811215742
  Medicare reassignment Care Compare group NPD
• Wilmington Physicians Group LLC

  • Family Medicine Physician
  • Wilmington, OH
  • NPI 1932401411
  Medicare reassignment Care Compare group NPD
• Dayton Center for Neurological Disorders Inc

  • Neurology Physician
  • Centerville, OH
  • NPI 1699728972
  Medicare reassignment NPD
• Mercy Health Physicians Springfield Specialty Care LLC

  • Surgery Physician
  • Springfield, OH
  • NPI 1790308104
  Medicare reassignment NPD
• Highland District Hospital Professional Services Corporation

  dba Lynchburg Medical Center

  • Rural Health Clinic/Center
  • Lynchburg, OH
  • NPI 1639470388
  NPD
• Trihealth Physician Institute

  dba GEROS Physician Extenders

  • Nurse Practitioner
  • Cincinnati, OH
  • NPI 1922051697
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Highland District Hospital

  • Critical Access Hospital
  • Hillsboro, OH
  • NPI 1225053119
  Care Compare affiliation
• Trihealth Hospital, Inc.

  dba TriHealth Clinton Regional Hospital

  • General Acute Care Hospital
  • Wilmington, OH
  • NPI 1457243586
  Care Compare affiliation

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1851943757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 MIAMISBURG CENTERVILLE RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454593811",
            "telephone_number": "937-439-6186",
            "fax_number": "937-439-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W MAIN ST STE 207",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772166",
            "telephone_number": "937-283-2570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455042687",
            "country_code": "US",
            "telephone_number": "937-328-8788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1975 Miamisburg Centerville Rd",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454593811",
            "country_code": "US",
            "telephone_number": "937-439-6186",
            "fax_number": "937-439-6189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "TRACY",
        "middle_name": "DEAN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.296257",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.025242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercedes Q Jones
• Cecilia Lynne Joyce
• Mindy Sue Kahlhamer, NP
• Liberty Keen
• Andrew Kelleher
• Meghan Marie Keniston, LPN
• William Douglas Kennedy, PSY.D.
• Joanna Keown
• David Allen Kerns, LPN
• Tasha R Kerns, CDCA

• Family Nurse Practitioner in Wilmington, OH
• Providers in Wilmington, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.