Individual provider Active NPI

Kelcey E Rohan

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1982175865
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0026761 Issued in OH
Practice address
3645 Stonecreek Blvd Unit B
Cincinnati, OH 45251-1469
Phone
(513) 245-7580
NPI assigned
Dec 17, 2018
Reactivated
Jul 8, 2020
Last updated
Jul 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 359481 OH
Registered Nurse 163W00000X 1164641 KY
Family Nurse Practitioner 363LF0000X 3013817 KY
Family Nurse Practitioner 363LF0000X 0026761 OH Primary

Addresses

Primary practice location

3645 Stonecreek Blvd Unit B
Cincinnati, OH 45251-1469

Mailing address

3645 Stonecreek Blvd Unit B
Cincinnati, OH 45251-1469
Phone (513) 245-7580

Other practice location 1

3880 Paxton Ave Ste G
Cincinnati, OH 45209-2372
Phone (513) 245-7574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 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
I20200710000706 OH Practitioner - Nurse Practitioner 2567885437 Reassigns benefits to 1 organization
I20251215000797 KY Practitioner - Nurse Practitioner 2567885437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Infusion Express of Ohio PA CoGroup PAC ID 7416288238, 16 clinicians

Practice addresses (Care Compare)

3645 Stonecreek Blvd
Unit B
Cincinnati, OH 45251-1469
Phone (513) 245-7580

620 Buttermilk Pike
Crescent Springs, KY 41017-1302
Phone (859) 628-3010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1164641KYMDRegistered Nurse
359481OHMDRegistered Nurse
3013817KYMDFamily Nurse Practitioner
0026761OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ivx Health of Kentucky, PLLC CurrentSince Sep 1, 2025 Accepting new patients
Infusion Express of Ohio PA Co CurrentSince Jul 6, 2020 Accepting new patients

Locations

620 Buttermilk Pike
Crescent Springs, KY 41017
Phone (859) 628-3010

3645 Stone Creek Blvd
Unit B
Cincinnati, OH 45251
Phone (513) 245-7580

3880 Paxton Ave
Ste G
Cincinnati, OH 45209
Phone (513) 245-7574

7557 Sawmill Rd
Dublin, OH 43016
Phone (614) 349-2132

2756 London Groveport Rd
Grove City, OH 43123
Phone (614) 347-0215

2227 State Route 256
Ste D
Reynoldsburg, OH 43068
Phone (614) 335-9988

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, 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": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1982175865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 STONECREEK BLVD UNIT B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452511469",
            "telephone_number": "513-245-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 STONECREEK BLVD UNIT B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452511469",
            "telephone_number": "513-245-7580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3880 Paxton Ave Ste G",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452092372",
            "country_code": "US",
            "telephone_number": "513-245-7574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROHAN",
        "first_name": "KELCEY",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "deactivation_date": "2019-09-20",
        "reactivation_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "359481",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1164641",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013817",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0026761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.