KELLY MARIE FITZGERALD
NPI 1104640929
Nurse Practitioner - Acute Care in Cleveland, OH
About Kelly Marie Fitzgerald NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY MARIE FITZGERALD (NPI 1104640929) is an individual acute care provider in Cleveland, Ohio, licensed in Ohio (APRN.CNP.0038641) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, is affiliated with Marymount Hospital, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly Marie Fitzgerald is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Marymount Hospital
Acute Care Hospitals · Garfield Heights, OHCleveland Clinic Avon Hospital
Acute Care Hospitals · Avon, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44195 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLEVELAND, OH 44195
CLEVELAND, OH 44195
CLEVELAND, OH 44195
CLEVELAND, OH 44195
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelly Fitzgerald's NPI number?
The NPI number for Kelly Fitzgerald is 1104640929. It was assigned to this individual provider in the NPPES registry on November 8, 2024.
Where is Kelly Fitzgerald located?
Kelly Fitzgerald practices at 9500 Euclid Ave, Cleveland, OH 44195. The listed phone number is (216) 444-2200.
What is Kelly Fitzgerald's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Kelly Fitzgerald enrolled in Medicare?
Yes. Kelly Fitzgerald is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Kelly Fitzgerald affiliated with any hospitals?
According to CMS data, Kelly Fitzgerald is affiliated with Marymount Hospital and Cleveland Clinic Avon Hospital.
When was this NPI record last updated?
The NPPES record for Kelly Fitzgerald was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kelly Marie Fitzgerald · NPI 1104640929
Acute Care physician in Cleveland, Ohio. Individual provider, active in the CMS NPPES registry since November 8, 2024.
## Identity
- **NPI:** 1104640929 (Entity type: Individual)
- **Enumerated:** November 8, 2024
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** APRN.CNP.0038641 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9500 EUCLID AVE, Cleveland, OH 44195-0001
- **Phone:** (216) 444-2200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** March 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104640929) · Data from the CMS NPPES public registry.