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KELLY N. MARQUEZ APRN-CNP
NPI 1275115461
Nurse Practitioner in Kettering, OH

Active since April 27, 2021PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
3533 SOUTHERN BLVD STE 2100, KETTERING, OH 45429(937) 395-8556(937) 395-6376 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2026, Apr 7, 2026, Oct 26, 2023 and 3 more (6 updates tracked since 2021).

About Kelly N. Marquez Aprn-cnp NPPES

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

KELLY N. MARQUEZ APRN-CNP (NPI 1275115461) is an individual nurse practitioner in Kettering, Ohio, licensed in Ohio (APRN.CNP.0029731) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1275115461
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLY N. MARQUEZCredential: APRN-CNP
Location Address3533 SOUTHERN BLVD STE 2100Kettering, OH 45429-1267
Mailing Address1 Prestige Pl Ste 550Miamisburg, OH 45342-6115 · (937) 762-1310
Phone(937) 395-8556
Fax(937) 395-6376
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 27, 2021
Last NPPES UpdateJuly 8, 20266 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1275115461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · APRN.CNP.0029731
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License APRN.CNP.0029731 (OH)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License APRN.CNP.0029731 (OH)
3533 SOUTHERN BLVD STE 2100, Kettering, OH 45429
Open in Google Maps ↗

Secondary Practice Locations 4

Location 13000 Arlington Ave Ste 2CToledo, OH 43614-2595 · Phone (419) 383-3759 · Fax (419) 383-2962
Location 230 E Apple St Ste 6258Dayton, OH 45409-2939 · Phone (937) 208-5055 · Fax (937) 641-7079
Location 3601 State Route 664 NLogan, OH 43138-8541 · Phone (740) 380-8000
Location 41 Wyoming StDayton, OH 45409-2711 · Phone (937) 208-8000

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly N. Marquez Aprn-cnp 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 ID2961809116
PECOS Enrollment IDI20210930001868
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Kelly Marquez reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Premier Health Specialists Inc
0.9 mi
Internal Medicine
3170 KETTERING BLVD, BUILDING B 3RD FLOOR
Moraine, OH 45439
  • Reassigned Medicare billing, Ohio enrollment
  • 812 clinicians in this Medicare group
NPI 1194958223 (937) 991-3188
Kettering Independent Medical Group Inc
4.9 mi
Orthopaedic Surgery
1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • 984 clinicians in this Medicare group
NPI 1629387865 (937) 762-1629
University Of Toledo Physicians, LLC
136 mi
Sports Medicine
3000 ARLINGTON AVE
Toledo, OH 43614
  • Reassigned Medicare billing, Ohio enrollment
  • 522 clinicians in this Medicare group
NPI 1215240676 (419) 383-3761
Johns Hopkins University
382 mi
Neurological Surgery
8600 OLD GEORGETOWN RD
Bethesda, MD 20814
  • Reassigned Medicare billing, Maryland enrollment
  • 4,483 clinicians in this Medicare group
NPI 1578569240 (410) 955-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
150 services140 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
121 services115 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
61 services58 patients

Hospital Affiliations CMS Care Compare

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

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Other Providers at the Same Location NPPES 15

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

ISABEL KATHLEEN STOFFEL PA-C
Physician Assistant
3533 SOUTHERN BLVD STE 2100
KETTERING, OH 45429
Montgomery County (937) 762-1310
JASPREET SANDHU
Surgery
3533 SOUTHERN BLVD STE 2100
KETTERING, OH 45429
Montgomery County (937) 435-8663
DR. IHAB O ELHASSAN MD
Surgery
3533 SOUTHERN BLVD STE 2100
KETTERING, OH 45429
Montgomery County (937) 395-8556
DR. HEENA P SANTRY MD
Surgery
3533 SOUTHERN BLVD STE 2100
KETTERING, OH 45429
Montgomery County (937) 395-8556
JENNIFER MARIE SEIBERT
Physician Assistant
3533 SOUTHERN BLVD STE 2100
KETTERING, OH 45429
Montgomery County (937) 395-8556
JONATHAN M SAXE MD
Surgery (Surgical Critical Care)
3533 SOUTHERN BLVD STE 2100
KETTERING, OH 45429
Montgomery County (937) 762-1310
KELLIE MAERTZ PA-C
Physician Assistant
3533 SOUTHERN BLVD STE 2100
KETTERING, OH 45429
Montgomery County (216) 233-8018
MR. CONNOR MICHAEL-LEHMAN WOLFE PA-C
Physician Assistant (Medical)
3533 SOUTHERN BLVD STE 2100
KETTERING, OH 45429
Montgomery County (937) 298-4331

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 Marquez's NPI number?

The NPI number for Kelly Marquez is 1275115461. It was assigned to this individual provider in the NPPES registry on April 27, 2021.

Where is Kelly Marquez located?

Kelly Marquez practices at 3533 Southern Blvd Ste 2100, Kettering, OH 45429. The listed phone number is (937) 395-8556.

What is Kelly Marquez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelly Marquez enrolled in Medicare?

Yes. Kelly Marquez 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.

Which organizations bill Medicare for Kelly Marquez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Marquez reassigns Medicare benefits to 4 organizations: Premier Health Specialists Inc (Moraine, OH), Kettering Independent Medical Group Inc (Miamisburg, OH), University Of Toledo Physicians, LLC (Toledo, OH) and Johns Hopkins University (Bethesda, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Marquez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Marquez accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 2 other insurers list Kelly Marquez 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 Kelly Marquez affiliated with any hospitals?

According to CMS data, Kelly Marquez is affiliated with Kettering Health Main Campus.

When was this NPI record last updated?

The NPPES record for Kelly Marquez was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.