Active NPI
Kelly Cronomiz Soltis, MSN, NP, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Xenia, OH
National Provider Identifier
1881036135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0024171041
- Practice address
- 452 W Market St
Xenia, OH 45385-2815 - Phone
- (937) 376-8700
- Fax
- (937) 376-8725
- NPI assigned
- Jul 26, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024171041 | VA | Primary |
Addresses
Primary practice location
452 W Market St
Xenia, OH 45385-2815
Mailing address
452 W Market St
Xenia, OH 45385-2815
Phone (937) 376-8700
Other names 1
- Mrs. Kelly Marie Cronomiz
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
452 W Market St
Xenia, OH 45385-2815
Phone (937) 376-8700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TCN Behavioral Health Services, Inc | Current | Accepting new patients |
Locations
1825 Commerce Center Blvd
Fairborn, OH 45324
Phone (937) 376-8755
452 W Market St
Xenia, OH 45385
Phone (937) 376-8744
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/tcn/r4/
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Xenia, OH
- NPI 1336118256
-
- Psychiatry Physician
- Fairborn, OH
- NPI 1770725806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452556800000",
"number": "1881036135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "452 W MARKET ST",
"city": "XENIA",
"state": "OH",
"postal_code": "453852815",
"telephone_number": "937-376-8700",
"fax_number": "937-376-8725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "452 W MARKET ST",
"city": "XENIA",
"state": "OH",
"postal_code": "453852815",
"telephone_number": "937-376-8700",
"fax_number": "937-376-8725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLTIS",
"first_name": "KELLY",
"middle_name": "CRONOMIZ",
"name_prefix": "Mrs.",
"credential": "MSN, NP, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-26",
"last_updated": "2016-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024171041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "CRONOMIZ",
"middle_name": "MARIE",
"prefix": "MRS.",
"credential": "MSN, LNP, PMHNP-BC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Xenia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.