Constance D Kelly, CRNP - Medicare Nurse Practitioner in Middleburg Heights, OH

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Constance D Kelly, CRNP is a medicare enrolled "Nurse Practitioner" in Middleburg Heights, Ohio. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Illumia Health Llc and her current practice location is 7251 Engle Rd Ste 402, Middleburg Heights, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 826-0500.

Constance D Kelly is licensed to practice in Pennsylvania (license number SP017456) 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 1780110676.

Contact Information

Constance D Kelly, CRNP
7251 Engle Rd Ste 402,
Middleburg Heights, OH 44130-3400
(440) 826-0500
Not Available

Map and Direction




Provider's Profile

Full NameConstance D Kelly
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location7251 Engle Rd Ste 402, Middleburg Heights, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Constance D Kelly graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1780110676
  • Provider Enumeration Date: 05/11/2017
  • Last Update Date: 06/05/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7517235492
  • Enrollment ID: I20170713002317

Medical Identifiers

Medical identifiers for Constance D Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780110676NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner SP017456 (Pennsylvania)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Illumia Health Llc781042430638

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. Constance D Kelly allows following entities to bill medicare on her behalf.
Entity NameTraveling Nurse Practitioner, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588995849
PECOS PAC ID: 7012040421
Enrollment ID: O20100805000910
Entity NameOhio Living Holdings
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952799835
PECOS PAC ID: 8729111471
Enrollment ID: O20201125001472
Entity NameMid-south Home Care Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881391597
PECOS PAC ID: 4385961093
Enrollment ID: O20230323001347
Entity NameIllumia Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740024397
PECOS PAC ID: 7810424306
Enrollment ID: O20241223000539

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. Constance D Kelly 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 AddressPractice Location Address
Constance D Kelly, CRNP
Po Box 639295,
Cincinnati, OH 45263-9295

Ph: (248) 824-6000		Constance D Kelly, CRNP
7251 Engle Rd Ste 402,
Middleburg Heights, OH 44130-3400

Ph: (440) 826-0500

Reviews and Comments


Nurse Practitioner Nurses in Middleburg Heights, OH

Laura Pesetsky, CNP
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Phone: 440-816-8000    Fax: 440-879-0084
Halle Lynch, CNP
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Phone: 440-845-0900    Fax: 440-842-9911
Mary K Pallotta, CNP, MSN
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Andrea Phillips, PMHNP-BC
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Brian Tomcany Sr., FNP
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Mrs. Debra Defranco, FNP-C
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Shantell Reid, APRN
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Medicare: Accepting Medicare Assignments
Practice Location: 7225 Old Oak Blvd Ste 210, Middleburg Heights, OH 44130
Phone: 440-816-2761    Fax: 440-816-8065

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.