Individual provider Active NPI

Kayleigh Victoria Priebe, CNP

  • Family Nurse Practitioner
  • Canton, OH
National Provider Identifier
1861230872
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0037076 Issued in OH
Practice address
236 3Rd St SW
Canton, OH 44702-1607
Phone
(330) 754-4431
Fax
(330) 244-8839
NPI assigned
Jul 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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 APRN.CNP.0037076 OH Primary
Emergency Registered Nurse 163WE0003X RN.378184 OH

Addresses

Primary practice location

236 3Rd St SW
Canton, OH 44702-1607

Mailing address

236 3Rd St SW
Canton, OH 44702-1607
Phone (236) 344-7023

Other practice location 1

236 3rd St SW
Canton, OH 44702-1607
Phone (330) 754-4431

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
I20241120000027 OH Practitioner - Nurse Practitioner 2264967892 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pai Participant 1 LLCGroup PAC ID 8123351954, 174 clinicians
Skill Doc 101 LLCGroup PAC ID 1658509369, 34 clinicians
Pinnacle Care Providers, LLCGroup PAC ID 1850437948, 40 clinicians

Practice addresses (Care Compare)

11750 Klinger Ave NE
Alliance, OH 44601-1113
Phone (330) 823-8263

236 3Rd St SW
Canton, OH 44702-1607
Phone (330) 754-4431

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.378184OHMDEmergency Registered Nurse
APRN.CNP.0037076OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Skill Doc 101, LLC CurrentSince Jul 15, 2025 Accepting new patients
Pai Participant 1 LLC CurrentSince Jul 10, 2025 Accepting new patients
Pinnacle Care Providers, LLC Family CurrentSince Jun 1, 2025 Accepting new patients

Locations

200 E State St
Alliance, OH 44601
Phone (330) 596-6000

11750 Klinger Ave NE
Alliance, OH 44601
Phone (330) 823-8263

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

236 3rd St SW
Canton, OH 44702
Phone (330) 754-4431

230 Cherry St
Chillicothe, OH 45601
Phone (740) 773-6470

Organizations & group practices 3

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": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1861230872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 3RD ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021607",
            "telephone_number": "236-344-7023",
            "fax_number": "330-244-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 3RD ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021607",
            "telephone_number": "330-754-4431",
            "fax_number": "330-244-8839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 3rd St SW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447021607",
            "country_code": "US",
            "telephone_number": "330-754-4431",
            "fax_number": "330-244-8839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIEBE",
        "first_name": "KAYLEIGH",
        "middle_name": "VICTORIA",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0037076",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "OH",
            "license": "RN.378184",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.