Mrs Stacy Sue Kelley, CNP in Lewis Center, OH

Mrs Stacy Sue Kelley, CNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Lewis Center, Ohio. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Osu General Internal Medicine Llc and her current practice location is 6515 Pullman Dr, Lewis Center, Ohio. You can reach out to her office (for appointments etc.) via phone at (614) 688-7150.

Mrs Stacy Sue Kelley is licensed to practice in Ohio (license number COA.12521-NP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174802938.

Contact Information

	Mrs Stacy Sue Kelley, CNP
	6515 Pullman Dr, Lewis Center, OH 43035-7380
	(614) 688-7150
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Stacy Sue Kelley
Gender	Female
Speciality	Nurse Practitioner
Experience	16 Years
Location	6515 Pullman Dr, Lewis Center, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Stacy Sue Kelley graduated from nursing school in 2008

NPI Data:

NPI Number: 1174802938
Provider Enumeration Date: 08/11/2011
Last Update Date: 01/02/2014

Medicare PECOS Information:

PECOS PAC ID: 0840462768
Enrollment ID: I20111018000582

Medical Identifiers

Medical identifiers for Mrs Stacy Sue Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174802938	NPI	-	NPPES
PENDING	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	COA.12521 (Ohio)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	COA.12521-NP (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ohio State University State Health System	Columbus, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Osu General Internal Medicine Llc	7517103955	243

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Stacy Sue Kelley allows following entities to bill medicare on her behalf.

Entity Name	Osu Family Practice Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659339653 PECOS PAC ID: 9032023874 Enrollment ID: O20031117000511

Entity Name	Osu General Internal Medicine Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689919599 PECOS PAC ID: 7517103955 Enrollment ID: O20130409000603

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Stacy Sue Kelley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Stacy Sue Kelley, CNP 700 Ackerman Rd, Suite 260, Columbus, OH 43202-1559 Ph: (614) 947-3700	Mrs Stacy Sue Kelley, CNP 6515 Pullman Dr, Lewis Center, OH 43035-7380 Ph: (614) 688-7150

Reviews and Comments

Nurse Practitioner Nurses in Lewis Center, OH

Mrs. Erin Jeffrey, APRN/CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6417 Columbus Pike, Lewis Center, OH 43035 Phone: 740-201-6515
Maureen Ellen Owens, RN, CNP, LISW-S Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7100 Graphics Way Ste 3100, Lewis Center, OH 43035 Phone: 740-428-0428
Amanda Marie Phillips, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6417 Columbus Pike, Lewis Center, OH 43035 Phone: 740-201-6515
Erin Dutt, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Green Meadows Dr S, Lewis Center, OH 43035 Phone: 505-603-0994
Duncan Mwangi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2600 Bold Venture Dr, Lewis Center, OH 43035 Phone: 614-316-2800
Martha Diann Clifford, APRN, FNP-BC, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9043 Longstone Dr, Lewis Center, OH 43035 Phone: 740-953-1332

Mrs Stacy Sue Kelley, CNP - Medicare Nurse Practitioner in Lewis Center, OH