Kelly Marie Adamczyk, CNP
Individual provider Active NPI Family Nurse Practitioner · Hilliard, OH
NPI 1982160420 · NPPES record last updated Aug 23, 2022
Key facts
- NPI
- 1982160420
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN.CNP.024190 (OH)
- Practice address
- 3455 Mill Run Dr Ste 310
Hilliard, OH 43026-9082 - Phone
- (833) 358-2036
- NPI assigned
- Feb 20, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Apex Physical Medicine, Inc
Practice addresses (Care Compare)
3684 Dressler Rd NW
Unit 2B
Canton, OH 44718-2781
Phone (330) 479-9193
Hospital & facility affiliations
- MH St Elizabeth Youngstown Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190508002452 | OH | Practitioner - Nurse Practitioner | 5890037048 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.024190 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Youngstown LLC | Current |
Accepting new patients | |
| Mercy Health Physicians Youngstown, LLC | Current |
Accepting new patients | |
| Apex Physical Medicine, Inc | Family | Current |
Accepting new patients |
| Summit Medical Group, PLLC | Past |
Accepting new patients |
Locations
3684 Dressler Rd NW
#2B
Canton, OH 44718
Phone (330) 479-9193
410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905
5533 Mahoning Ave
Fl 2
Youngstown, OH 44515
Phone (330) 480-3533
1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182
4694 Belmont Ave
Youngstown, OH 44505
Phone (330) 480-7655
Interoperability endpoints
- kadamczyk@landmarkhealth-direct.org
- kadamczyk192370@direct.bsmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.024190 | OH | Yes |
Addresses
Primary practice location
3455 Mill Run Dr Ste 310
Hilliard, OH 43026-9082
Mailing address
4694 Belmont Ave
Youngstown, OH 44505-1012
Phone (330) 480-7655
Other practice location 1
4694 Belmont Ave
Youngstown, OH 44505-1012
Phone (330) 480-7655
Other names
- Kelly Gerbasi
Other providers in Hilliard, OH
- Kaylen Ackerman
- Ackerson Eyecare Center, Inc
- Laird Douglas Ackerson
- Active Physical Therapy, Inc.
- Active Physical Therapy, Inc.
- David D Adamets
- Victor Adegbola
- Leah Adkins
- Tiffany Adkins
- Relindis Eyonghe Agbor
All providers in Hilliard, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.