Individual provider Active NPI

Terri Kingrey, APRN

  • Family Nurse Practitioner
  • Georgetown, KY
National Provider Identifier
1902587314
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4007187 Issued in KY
Practice address
106 Market Place Cir
Georgetown, KY 40324-7400
Phone
(859) 317-6075
NPI assigned
Jul 27, 2023
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4007187 KY Primary

Addresses

Primary practice location

106 Market Place Cir
Georgetown, KY 40324-7400

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20250103002616 WA Practitioner - Nurse Practitioner 0345602314 Reassigns benefits to 1 organization
I20250807002366 OH Practitioner - Nurse Practitioner 0345602314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Little Clinic of Ohio LLCGroup PAC ID 7719087584, 212 clinicians

Practice addresses (Care Compare)

199 Graceland Blvd
Columbus, OH 43214-1529
Phone (614) 410-2814

210 Sterling Run Blvd
Mount Orab, OH 45154-8350
Phone (937) 444-6995

3760 Paxton Ave
Cincinnati, OH 45209-2306
Phone (513) 488-8077

7132 Hamilton Ave
Cincinnati, OH 45231-5234
Phone (513) 728-2780

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
66.02
Promoting interoperability
100
Improvement activities
40
Cost
79.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Networks on Demand, LLC CurrentSince Nov 19, 2024 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Jul 23, 2025 Accepting new patients
Zoomcare Urgent Care LLC PastSince Aug 6, 2023 Accepting new patients

Locations

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

824 Main St
Milford, OH 45150
Phone (513) 774-5606

10541 NE 4th St
Bellevue, WA 98004
Phone (954) 881-4151

19220 Alderwood Mall Pkwy
Ste 145
Lynnwood, WA 98036

531 Broadway E
Ste 10
Seattle, WA 98102

Interoperability endpoints

  • Direct secure messaging: terri.kingrey@krogerhealth.eclinicaldirectplus.com

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, 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": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1902587314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MARKET PLACE CIR",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403247400",
            "telephone_number": "859-317-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGREY",
        "first_name": "TERRI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4007187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

Verify at the official NPI Registry.