Kelly N Marquez, APRN-CNP - Medicare Nurse Practitioner in Kettering, OH

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Kelly N Marquez, APRN-CNP is a medicare enrolled "Nurse Practitioner" in Kettering, Ohio. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kettering Independent Medical Group Inc, Osup Community Outreach Llc and her current practice location is 3533 Southern Blvd Ste 2100, Kettering, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 395-8556.

Kelly N Marquez is licensed to practice in Ohio (license number APRN.CNP.0029731) 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 1275115461.

Contact Information

Kelly N Marquez, APRN-CNP
3533 Southern Blvd Ste 2100,
Kettering, OH 45429-1267
(937) 395-8556
(937) 395-6376

Map and Direction




Provider's Profile

Full NameKelly N Marquez
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location3533 Southern Blvd Ste 2100, Kettering, 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:
  • Kelly N Marquez graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1275115461
  • Provider Enumeration Date: 04/27/2021
  • Last Update Date: 01/31/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2961809116
  • Enrollment ID: I20210930001868

Medical Identifiers

Medical identifiers for Kelly N Marquez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275115461NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APRN.CNP.0029731 (Ohio)Primary
363LA2200XNurse Practitioner - Adult Health APRN.CNP.0029731 (Ohio)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kettering Medical CenterKettering, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kettering Independent Medical Group Inc3173710936602
Osup Community Outreach Llc5799008082120

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. Kelly N Marquez allows following entities to bill medicare on her behalf.
Entity NamePremier Health Specialists Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194958223
PECOS PAC ID: 5597708594
Enrollment ID: O20050610000010
Entity NameKettering Independent Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629387865
PECOS PAC ID: 3173710936
Enrollment ID: O20101207000425
Entity NameOsup Community Outreach Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699179929
PECOS PAC ID: 5799008082
Enrollment ID: O20141217001070

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. Kelly N Marquez 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
Kelly N Marquez, APRN-CNP
1 Prestige Pl Ste 550,
Miamisburg, OH 45342-6115

Ph: (937) 762-1310		Kelly N Marquez, APRN-CNP
3533 Southern Blvd Ste 2100,
Kettering, OH 45429-1267

Ph: (937) 395-8556

Reviews and Comments


Nurse Practitioner Nurses in Kettering, OH

Holli N Kroger, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5450 Far Hills Ave, Kettering, OH 45429
Phone: 937-436-2866    Fax: 937-436-1468
Ms. Noriko Tsuchihashi Banerjee, RN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 500 Lincoln Park Blvd, Suite 100, Kettering, OH 45429
Phone: 937-222-3118    Fax: 937-222-1436
Erica Lee Ertel,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3700 Southern Blvd Ste 201, Kettering, OH 45429
Phone: 855-500-2873    Fax: 937-281-3992
Lashauna Hall, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429
Phone: 937-643-9299    Fax: 937-643-2343
Mrs. Erika Vanwyck Thomas, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2115 E Dorothy Ln, Kettering, OH 45420
Phone: 937-610-9174    
Ms. Danyell Margioras, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429
Phone: 937-643-9299    
Stephanie Lynn Henry, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-395-8166    

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.