Active NPI
Kelcey E Rohan
- Family Nurse Practitioner
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0026761
- 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, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1164641 | KY | MD | Registered Nurse |
| 359481 | OH | MD | Registered Nurse |
| 3013817 | KY | MD | Family Nurse Practitioner |
| 0026761 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivx Health of Kentucky, PLLC | Current | Accepting new patients | |
| Infusion Express of Ohio PA Co | Current | 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.
-
dba Infusion Express
- Clinic/Center
- Reynoldsburg, OH
- NPI 1720647886
KY
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.