| Tracy Dean Kelley, CNP | |
|
630 W Main St Ste 207, Wilmington, OH 45177-2166 | |
| (937) 283-2570 | |
| Not Available |
| Full Name | Tracy Dean Kelley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 630 W Main St Ste 207, Wilmington, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851943757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN.296257 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.025242 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Clinton Memorial Hospital | Wilmington, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Highland District Hospital Professional Services Corporation | 3971415696 | 24 |
| Wilmington Physicians Group Llc | 4688853419 | 29 |
| Entity Name | Highland District Hospital Professional Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205893351 PECOS PAC ID: 3971415696 Enrollment ID: O20031103000127 |
| Entity Name | Dayton Center For Neurological Disorders Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699728972 PECOS PAC ID: 4082501853 Enrollment ID: O20040304000612 |
| Entity Name | Hospital Medicine Services Of Ohio, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073781597 PECOS PAC ID: 6103997747 Enrollment ID: O20080625000293 |
| Entity Name | Wilmington Physicians Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932401411 PECOS PAC ID: 4688853419 Enrollment ID: O20110126000617 |
| Entity Name | Mercy Health Physicians Springfield Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790308104 PECOS PAC ID: 4284059981 Enrollment ID: O20200728003692 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Dean Kelley, CNP 1975 Miamisburg Centerville Rd, Centerville, OH 45459-3811 Ph: (937) 439-6186 | Tracy Dean Kelley, CNP 630 W Main St Ste 207, Wilmington, OH 45177-2166 Ph: (937) 283-2570 |
Ross S Wickstrom, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1184 W Locust St, Wilmington, OH 45177 Phone: 937-382-1616 | |
Ms. Margaret M Brausch, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1184 W Locust St, Wilmington, OH 45177 Phone: 937-382-1616 Fax: 937-382-7877 | |
Tiffany Burroughs, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1184 W Locust St, Wilmington, OH 45177 Phone: 937-382-1616 Fax: 937-382-7877 | |
Mrs. Jacquelynn R Mcconnaughey, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2107 Rombach Ave, Wilmington, OH 45177 Phone: 937-383-1040 | |
Sandy W Neville, C.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1184 W Locust St, Wilmington, OH 45177 Phone: 937-382-1616 | |
Portia Vincent, C-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2845 Progress Way, Wilmington, OH 45177 Phone: 937-944-3385 | |
Mrs. Roseanne Elizabeth Mckay, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 140 W Main St, Wilmington, OH 45177 Phone: 937-481-2930 Fax: 937-382-4717 |