Kelcey E Rohan
Individual provider Active NPI Family Nurse Practitioner · Cincinnati, OH
NPI 1982175865 · NPPES record last updated Jul 8, 2020
Key facts
- NPI
- 1982175865
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0026761 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Infusion Express of Ohio PA Co
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH, KY
- 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 |
|---|---|---|---|---|
| I20200710000706 | OH | Practitioner - Nurse Practitioner | 2567885437 | Reassigns benefits to 1 organization |
| I20251215000797 | KY | Practitioner - Nurse Practitioner | 2567885437 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
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 |
|---|---|---|---|
| Infusion Express of Ohio PA Co | Current |
Accepting new patients | |
| Ivx Health of Kentucky, PLLC | 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
Specialties & licenses
| 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 | Yes |
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
Other providers in Cincinnati, OH
- Tracy Nicole Rogers
- Winifred Yeates Rogers
- Bruce J Rogovin
- Linda Marie Rogowski
- Brian K Rohan
- Angela M Rohde
- Stephanie Rohde
- Rohe Pharmacy Inc.
- Michael Joseph Rohlfs
- Nicholas Michael Rohlfs
All providers in Cincinnati, 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 Jul 8, 2020. 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.