SUE ANNE MARIE KELLY FNP-C
NPI 1265267645
Nurse Practitioner - Family in West Liberty, OH

Active since September 04, 2024PECOS EnrolledAccepts Medicare Assignment
4879 US HIGHWAY 68 S, WEST LIBERTY, OH 43357(937) 599-1411 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sue Anne Marie Kelly Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUE ANNE MARIE KELLY FNP-C (NPI 1265267645) is an individual family provider in West Liberty, Ohio, licensed in Ohio (APRNCNP-0036950) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1265267645
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUE ANNE MARIE KELLYCredential: FNP-C
Location Address4879 US HIGHWAY 68 SWest Liberty, OH 43357-9525
Mailing Address1391 County Road 5 NZanesfield, OH 43360-9747 · (937) 407-3330
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 4, 2024
NPPES CertifiedSeptember 4, 2024
NPI 1265267645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · APRNCNP-0036950
4879 US HIGHWAY 68 S, West Liberty, OH 43357

Accepted Insurance

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

Sue Anne Marie Kelly Fnp-c 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.

PECOS PAC ID9739612037
PECOS Enrollment IDI20241024003530
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital

Acute Care Hospitals · Marysville, OH
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360092
Location500 London AvenueMarysville, OH 43040 · Union County
Emergency services Birthing friendly

Mary Rutan Hospital

Acute Care Hospitals · Bellefontaine, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360197
Location205 Palmer AvenueBellefontaine, OH 43311 · Logan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43357 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
4879 US HIGHWAY 68 S
WEST LIBERTY, OH 43357
Family Medicine
4879 US HIGHWAY 68 S
WEST LIBERTY, OH 43357
Family Medicine
4879 US HIGHWAY 68 S
WEST LIBERTY, OH 43357
Family Medicine
4879 US HIGHWAY 68 S
WEST LIBERTY, OH 43357
Counselor (Professional)
4879 US HIGHWAY 68 S
WEST LIBERTY, OH 43357
Family Medicine
4879 US HIGHWAY 68 S
WEST LIBERTY, OH 43357
Family Medicine
4879 US HIGHWAY 68 S
WEST LIBERTY, OH 43357
Social Worker
4879 US HIGHWAY 68 S
WEST LIBERTY, OH 43357

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 Sue Anne Kelly's NPI number?

The NPI number for Sue Anne Kelly is 1265267645. It was assigned to this individual provider in the NPPES registry on September 4, 2024.

Where is Sue Anne Kelly located?

Sue Anne Kelly practices at 4879 Us Highway 68 S, West Liberty, OH 43357. The listed phone number is (937) 599-1411.

What is Sue Anne Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sue Anne Kelly enrolled in Medicare?

Yes. Sue Anne Kelly 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.

What insurance does Sue Anne Kelly accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Sue Anne Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sue Anne Kelly affiliated with any hospitals?

According to CMS data, Sue Anne Kelly is affiliated with Memorial Hospital and Mary Rutan Hospital.

When was this NPI record last updated?

The NPPES record for Sue Anne Kelly was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.