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

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

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: July 19, 2026.

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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 Mary Rutan 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

Phone(937) 599-1411

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

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

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.

MARY RUTAN HOSPITAL

Family Medicine