KELLY THUENEMAN APRN
NPI 1285026476
Nurse Practitioner - Family in West Chester, OH

Active since February 24, 2015PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
7690 DISCOVERY DR, WEST CHESTER, OH 45069(513) 475-7630(513) 475-7636 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jul 14, 2017, Jun 8, 2017 (3 updates tracked since 2017).

About Kelly Thueneman Aprn NPPES

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

KELLY THUENEMAN APRN (NPI 1285026476) is an individual family provider in West Chester, Ohio, licensed in Kentucky (3010234) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1285026476
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY THUENEMANCredential: APRN
Location Address7690 DISCOVERY DRWest Chester, OH 45069-6542
Mailing AddressPo Box 636256, Central CredentialingCincinnati, OH 45263-6256 · (513) 585-5505 · Fax (513) 585-5511
Fax(513) 475-7636
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 24, 2015
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1285026476 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 KY · 3010234
7690 DISCOVERY DR, West Chester, OH 45069

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

Kelly Thueneman Aprn 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 ID9739470816
PECOS Enrollment IDI20160621000388, I20170711002761
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.

Areas of Expertise CMS Part B claims 11

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
767 services146 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
303 services247 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
254 services195 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
153 services138 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
90 services83 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
65 services41 patients

Hospital Affiliations CMS Care Compare

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45069 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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

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.

Colon & Rectal Surgery
7690 DISCOVERY DR
WEST CHESTER, OH 45069
Otolaryngology
7690 DISCOVERY DR
WEST CHESTER, OH 45069
Social Worker (Clinical)
7690 DISCOVERY DR
WEST CHESTER, OH 45069
Podiatrist
7690 DISCOVERY DR
WEST CHESTER, OH 45069
Internal Medicine (Interventional Cardiology)
7690 DISCOVERY DR
WEST CHESTER, OH 45069
Urology
7690 DISCOVERY DR
WEST CHESTER, OH 45069
Nurse Practitioner (Adult Health)
7690 DISCOVERY DR
WEST CHESTER, OH 45069
Physician Assistant (Medical)
7690 DISCOVERY DR
WEST CHESTER, OH 45069

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 Thueneman's NPI number?

The NPI number for Kelly Thueneman is 1285026476. It was assigned to this individual provider in the NPPES registry on February 24, 2015.

Where is Kelly Thueneman located?

Kelly Thueneman practices at 7690 Discovery Dr, West Chester, OH 45069. The listed phone number is (513) 475-7630.

What is Kelly Thueneman's specialty?

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

Is Kelly Thueneman enrolled in Medicare?

Yes. Kelly Thueneman 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 Kelly Thueneman accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Oscar Health Insurance list Kelly Thueneman 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 Thueneman affiliated with any hospitals?

According to CMS data, Kelly Thueneman is affiliated with University Of Cincinnati Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Kelly Thueneman was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.